Organization
ALLA SHTILMAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA SHTILMAN (PRESIDENT)
(847) 409-0091
Entity
Organization
Contact information
Practice address
1464 TOWNLINE RD, MUNDELEIN, IL 60060-4433
(847) 566-7850
Mailing address
1215 DAYTON RD, BUFFALO GROVE, IL 60089-1121
(847) 409-0091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029434
IL
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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