Individual
DR. HARRY O CHANNON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8N515 SHADY LN, ELGIN, IL 60124-8557
(847) 695-6287
Mailing address
8N515 SHADY LN, ELGIN, IL 60124-8557
(847) 695-6287
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021000639
IL
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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