Jeffrey Larson

NPI 1154657245 · on the registry since 2009

Practice

Address: 451 Dunham Rd
Suite 400
Saint Charles, IL 60174
Phone: (630) 444-1801
Fax: (630) 444-0494
Organisation at this address: Our Medical Center Llc
Riverview Dental Care Ltd
From The Heart Counseling, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois