SearchIllinois124Q00000X

Dorothy Black, RDH

NPI 1255409819 · on the registry since 2006

Practice

Address
406 Boughton Rd
B
Bolingbrook, IL 60440
Phone
(630) 759-8940
Fax
(603) 759-9392
Clinicians at this address
2

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
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