Individual
DR. CHARLES J TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5404 W ELM ST, STE F, MCHENRY, IL 60050-4052
(815) 759-0871
(815) 759-0875
Mailing address
5404 W ELM ST, STE F, MCHENRY, IL 60050-4052
(815) 759-0871
(815) 759-0875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-015317
IL
Other
Enumeration date
04/15/2008
Last updated
01/01/2012
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