Individual
JOHN CHRISTOPHER NEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3521 W LAKE ST, MELROSE PARK, IL 60160-2825
(708) 865-1214
Mailing address
1275 W LAKE ST APT 304, ADDISON, IL 60101-5762
(630) 212-7298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031254
IL
Other
Enumeration date
07/17/2017
Last updated
03/17/2018
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