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Individual

BARBARA J RUNNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
105 BRENNAN DRIVE, KIRKLAND, IL 60146
(815) 522-3541
(815) 522-2107
Mailing address
105 BRENNAN DRIVE, KIRKLAND, IL 60146
(815) 522-3541
(815) 522-2107

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003541
PUBLIC AID
IL
Enumeration date
07/17/2006
Last updated
07/08/2007
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