Individual
DR. MARY ELIZABETH STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3001 N. GREEN BAY ROAD, NORTH CHICAGO, IL 60064-3048
(224) 610-3886
Mailing address
5322 W CORNELIA AVE, CHICAGO, IL 60641-3306
(773) 512-3337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031162
IL
122300000X
Dentist
100162815
WI
122300000X
Dentist
102736
CA
124Q00000X
Dental Hygienist
020013310
IL
Other
Enumeration date
06/15/2017
Last updated
09/18/2023
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