Organization
MARK J HUMENIK, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOSEPH HUMENIK DDS (PRESIDENT)
(847) 272-5400
Entity
Organization
Contact information
Practice address
1220 MEADOW RD, SUITE 306, NORTHBROOK, IL 60062-3698
(847) 272-5400
Mailing address
1220 MEADOW RD, SUITE 306, NORTHBROOK, IL 60062-3698
(847) 272-5400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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