Individual
MICHAEL DYME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 WAUKEGAN RD STE 225, GLENVIEW, IL 60025-2164
(847) 657-0535
Mailing address
1500 WAUKEGAN RD STE 225, GLENVIEW, IL 60025-2164
(847) 657-0535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030139
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
05/07/2021
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