Individual
DR. JOHN R BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4 WALKER AVE, SUITE B, CLARENDON HILLS, IL 60514-1351
(630) 323-2047
(630) 323-6155
Mailing address
4 WALKER AVE, SUITE B, CLARENDON HILLS, IL 60514-1351
(630) 323-2047
(630) 323-6155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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