Individual
JEFFREY M. BEUTTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1779 WILLOW RD, NORTHFIELD, IL 60093
(847) 446-9250
(847) 446-9270
Mailing address
1779 WILLOW RD., NORTHFIELD, IL 60093
(847) 446-9250
(847) 446-9270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A14015
IL
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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