Individual
DR. KARA PASSOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
638 N INDEPENDENCE BLVD, ROMEOVILLE, IL 60446-1374
(815) 886-0875
Mailing address
1222 W MADISON ST, APT 222, CHICAGO, IL 60607-2044
(224) 422-9693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030734
IL
Other
Enumeration date
07/09/2016
Last updated
10/09/2019
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