Search › Illinois › 1223D0001X
Jon Gardner, DMD
NPI 1174662621 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12078 Il Rte 185
Graham Correctional Center
Hillsboro, IL 62049 - Phone
- (217) 532-6961
- Fax
- (217) 532-3964
Registry record
- Primary taxonomy
- 1223D0001X
1223D0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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