Search › Illinois › 1223P0300X
Michelle Jennings, DDS
NPI 1205054541 · on the registry since 2007
Practice
- Address
- 6520 Joliet Rd
Countryside, IL 60525 - Phone
- (708) 354-4545
- Fax
- (708) 354-0336
- Organisation at this address
- Lagrange Perio Llc
Lagrange Periodontics, LtdInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-11
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