Keith Mellovitz, DDS
NPI 1205902194 · on the registry since 2006
Practice
- Address
- 1893 Sheridan Rd
Suite 318
Highland Park, IL 60035 - Phone
- (847) 433-9350
- Fax
- (847) 433-9355
- Organisation at this address
- Hpoms
Highland Park Oms
Shifu & Associates
Lauren Jacker Md Llc
Randal A. Knudson Dds PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- General Practice Dentistry
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-26
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