Individual
DR. DREW MANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3936 N CENTRAL AVE, CHICAGO, IL 60634-2732
(773) 685-3933
Mailing address
1131 HUNTER ST, LOMBARD, IL 60148-4821
(630) 953-1548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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