Individual
DR. JOHN CHARLES HAUWILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6 BARCLAY CT, MONTGOMERY, IL 60538-2712
(630) 801-7657
Mailing address
6 BARCLAY CT, MONTGOMERY, IL 60538-2712
(630) 801-7657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018254
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13812
BCBS
IL
Enumeration date
12/01/2006
Last updated
10/09/2011
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