Individual
DR. TIMOTHY V ERDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
310 TRI STATE PKWY STE 100, GURNEE, IL 60031-5282
(847) 662-3414
Mailing address
2424 OAK TREE LN, PARK RIDGE, IL 60068-1522
(408) 482-7023
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019030597
IL
1223P0300X
Periodontics
DS039810
PA
Other
Enumeration date
06/19/2014
Last updated
03/10/2023
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