Individual
DR. JEROME ALAN CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
62 ORLAND SQUARE DR, SUITE 304, ORLAND PARK, IL 60462-6546
(708) 349-1919
(708) 349-1990
Mailing address
62 ORLAND SQUARE DR, SUITE 304, ORLAND PARK, IL 60462-6546
(708) 349-1919
(708) 349-1990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018843
IL
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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