Organization
PAUL IMHOF/RAYMOND JELENIAUSKAS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C IMHOF DDS (PRESIDENT)
(847) 299-4811
Entity
Organization
Contact information
Practice address
1645 S RIVER RD, DES PLAINES, IL 60018-2206
(847) 299-4811
(847) 299-4379
Mailing address
1645 S RIVER RD, DES PLAINES, IL 60018-2206
(847) 299-4811
(847) 299-4379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-015281
IL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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