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Individual

DR. SCOTT THAYER WALKINSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
120 E LAKE ST, ADDISON, IL 60101-2821
(630) 516-0000
Mailing address
47 W DIVISION ST, #266, CHICAGO, IL 60610-2339
(773) 726-9069

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6043
NE
122300000X
Dentist
IL
1223P0300X
Periodontics
IL

Other

Enumeration date
02/26/2007
Last updated
09/11/2025
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