Jack C Yi D.D.S.

NPI 1619095593 - Dentist - 1223G0001X

NPI Details
NPI 1619095593
Gender Male
Enumeration Date 03/27/2007
Last Updated 09/24/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
3240 VOLLMER RD
OLYMPIA FIELDS IL, 60461-1122, US
Phone (708) 481-3866
Fax (708) 481-8210
Business Location
3240 VOLLMER RD
OLYMPIA FIELDS IL, 60461-1122, US
Phone (708) 481-3866
Fax (708) 481-8210
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019024195
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According to our database, Dr. Jack C Yi D.D.S. NPI is 1619095593, taxonomy code is 1223G0001X and license number is 019024195, license state is located at Illinois. Jack C Yi D.D.S. physically located at 3240 Vollmer Rd, Olympia Fields IL, 60461-1122. NPI Number Jack C Yi D.D.S. has the Individual type.

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1619095593 NPI number is provided on an as is basis without warranty of any kind. 1619095593 is maintained by the National Plan & Provider Enumeration System. The contents of Jack C Yi D.D.S. are for informational purposes only.