Individual
DR. EMILY R VANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7345 W 25TH ST, NORTH RIVERSIDE, IL 60546-1409
(708) 447-0900
Mailing address
430 W ERIE ST, SUITE 200, CHICAGO, IL 60654-6914
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028977
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2012
Last updated
06/09/2012
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