Individual
DR. JONATHAN T CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1501 SHERMER RD, NORTHBROOK, IL 60062-5313
(847) 272-6466
Mailing address
1501 SHERMER RD, NORTHBROOK, IL 60062-5313
(847) 272-6466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035403
IL
Other
Enumeration date
08/06/2024
Last updated
01/10/2025
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