Individual
DR. JAMES LAWRENCE DISCIPIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
6737 W. STANLEY AVENUE, BERWYN, IL 60402-3129
(708) 749-0133
Mailing address
800 NEWBERRY, LAGRANGE PARK, IL 60526-1656
(708) 352-0826
(708) 749-7778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A19017
IL
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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