Individual
DR. CAROLINE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1394 S ROUTE 12, FOX LAKE, IL 60020-1949
(847) 587-5053
Mailing address
3078 NICKLAUS LN, WADSWORTH, IL 60083-8944
(847) 672-9569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027016
IL
Other
Enumeration date
01/25/2007
Last updated
06/18/2008
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