Individual
MR. DOUGLAS PENNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 LIONS DR, SUITE 100, BARRINGTON, IL 60010-3181
(847) 381-6222
(847) 381-2916
Mailing address
101 LIONS DR, SUITE 100, BARRINGTON, IL 60010-3181
(847) 381-6222
(847) 381-2916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021619
IL
Other
Enumeration date
11/20/2006
Last updated
01/09/2012
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