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Individual

DR. JOHN WILLARD TSCHANZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
725 N MCKINLEY RD, LAKE FOREST, IL 60045-5508
(847) 295-7050
Mailing address
725 N MCKINLEY RD, LAKE FOREST, IL 60045-5508
(847) 295-7050

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A-15001
IL

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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