Individual
LISA MAIRE MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6224 MAIN ST, C, DOWNERS GROVE, IL 60516-1900
(630) 963-1458
(630) 963-5510
Mailing address
6224 S. MAIN STREET, C, DOWNERS GROVE, IL 60516-1986
(630) 963-1458
(630) 963-5510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019019829
IL
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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