Individual
DR. JACK C YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3240 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1122
(708) 481-3866
(708) 481-8210
Mailing address
3240 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1122
(708) 481-3866
(708) 481-8210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024195
IL
Other
Enumeration date
03/27/2007
Last updated
09/24/2010
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