Individual
DR. JOHN W. MORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
290 SPRINGFIELD DR STE 280, BLOOMINGDALE, IL 60108-2242
(630) 893-7900
(630) 893-8212
Mailing address
290 SPRINGFIELD DR STE 280, BLOOMINGDALE, IL 60108-2242
(630) 893-7900
(630) 893-8212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A16443
IL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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