Individual
DR. KATHY H. JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
921 RIDGE ROAD, WILMETTE, IL 60091
(847) 251-8072
(847) 251-8073
Mailing address
921 RIDGE ROAD, WILMETTE, IL 60091
(847) 251-8072
(847) 251-8073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022117
IL
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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