Individual
MARLENE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
18700 S WOLF RD, 200, MOKENA, IL 60448-8456
(708) 478-8866
Mailing address
18700 S WOLF RD, 200, MOKENA, IL 60448-8456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022232
IL
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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