Individual
DR. KEVIN MICHAEL ANDRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 E HURON ST, GALTER PAVILION SUITE 9-100, CHICAGO, IL 60611-3197
(312) 926-2929
(312) 926-3595
Mailing address
201 E HURON ST, GALTER PAVILION SUITE 9-100, CHICAGO, IL 60611-3197
(312) 926-2929
(312) 926-3595
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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