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Individual

DR. ELAINE RUTH WINEGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
34390 N TANGUERAY DR, GRAYSLAKE, IL 60030-4017
(847) 548-5070
Mailing address
34390 N TANGUERAY DR, GRAYSLAKE, IL 60030-4017
(847) 548-5070

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035646
NY

Other

Enumeration date
01/11/2006
Last updated
09/01/2010
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