Individual
DR. EVAN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12635 W 143RD ST, HOMER GLEN, IL 60491-8381
(708) 301-0005
Mailing address
12635 W 143RD ST, HOMER GLEN, IL 60491-8381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033091
IL
Other
Enumeration date
03/12/2022
Last updated
12/03/2025
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