Individual
MCKENNA MERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2001 LARKIN AVE STE 120, ELGIN, IL 60123-5808
(847) 697-1111
Mailing address
1617 N ARTESIAN AVE APT 2N, CHICAGO, IL 60647-6058
(630) 991-1295
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019035564
IL
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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