Individual
DR. JOHN BRIAN CRISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1307 W WASHINGTON ST, SUITE 130, OREGON, IL 61061-1022
(815) 732-6911
Mailing address
2934 S LOWDEN RD, OREGON, IL 61061-9101
(815) 732-2787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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