Individual
CAITLIN MARIE KOMPANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
412 W. TALCOTT, PARK RIDGE, IL 60068
(847) 823-9343
Mailing address
202 MEIER ROAD, ARLINGTON HEIGHTS, IL 60005
(847) 917-0696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032647
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019032647
DENTAL LICENSE
IL
Enumeration date
07/08/2020
Last updated
07/08/2020
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