Individual
JOHN BRUNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 E PHILLIP RD, SUITE 101, VERNON HILLS, IL 60061-1858
(847) 367-4190
(847) 367-5010
Mailing address
1 E PHILLIP RD, SUITE 101, VERNON HILLS, IL 60061-1858
(847) 367-4190
(847) 367-5010
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019025890
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021002276
IL
Other
Enumeration date
02/02/2007
Last updated
07/11/2012
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