Individual
ALLISON FEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
(847) 688-2100
Mailing address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036262
IL
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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