Individual
DR. MARK A. HATTENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
636 S RIVER RD, SUITE 201, DES PLAINES, IL 60016-4624
(847) 824-2143
Mailing address
636 S RIVER RD, SUITE 201, DES PLAINES, IL 60016-4624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016980
IL
Other
Enumeration date
03/13/2007
Last updated
02/06/2008
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