Individual
DR. DENNIS E DETTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21219 SILKTREE CIR, PLAINFIELD, IL 60544-9359
(630) 257-6493
(630) 243-6293
Mailing address
21219 SILKTREE CIR, PLAINFIELD, IL 60544-9359
(630) 257-6493
(630) 243-6293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007054
—
IL
Enumeration date
08/02/2005
Last updated
12/13/2024
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