Individual
DR. JOHN EDWARD STUPARITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
103 S GREENLEAF ST, SUITE K, GURNEE, IL 60031-3380
(847) 782-0048
Mailing address
921 OLD TRAIL RD, HIGHLAND PARK, IL 60035-1167
(847) 681-0215
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021.001771
IL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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