Individual
ROBERT J WIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15601 CICERO AVE, SUITE 102, OAK FOREST, IL 60452-3635
(708) 687-6600
(708) 687-6639
Mailing address
15601 CICERO AVE, SUITE 102, OAK FOREST, IL 60452-3635
(708) 687-6600
(708) 687-6639
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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