Organization
GLEN PERIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINA MARISSA CURIO (OFFICE MANAGER/ OPERATIONS MANAGER)
(847) 729-0200
Entity
Organization
Contact information
Practice address
2640 PATRIOT BLVD, SUITE 140, GLENVIEW, IL 60026-8075
(847) 729-0200
(847) 729-0202
Mailing address
2640 PATRIOT BLVD, SUITE 140, GLENVIEW, IL 60026
(847) 729-0200
(847) 729-0202
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
06/14/2016
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