Individual
DR. JENISE J VICARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1132 WAUKEGAN RD, SUITE 201, GLENVIEW, IL 60025-3065
(847) 998-6684
Mailing address
1132 WAUKEGAN RD, SUITE 201, GLENVIEW, IL 60025-3065
(847) 998-6684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-020110
IL
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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