Individual
IVO KOMORNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
805 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820
(217) 352-5088
Mailing address
805 W SPRINGFIELD AVE., CHAMPAIGN, IL 61820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036319
IL
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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