Individual
DR. CORY A GRATHWOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
47 E CHICAGO AVE STE 344, NAPERVILLE, IL 60540-5360
(630) 778-9500
(630) 778-9521
Mailing address
47 E CHICAGO AVE STE 344, NAPERVILLE, IL 60540-5360
(630) 778-9500
(630) 778-9521
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019031567
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/17/2016
Last updated
04/05/2022
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