Individual
DR. JEREMY WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4516 S DAMEN AVE, CHICAGO, IL 60609-3013
(414) 339-6039
Mailing address
2800 N LAKE SHORE DR, CHICAGO, IL 60657-6232
(414) 339-6039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029627
IL
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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