SearchIllinois1223G0001X

Justin Woodruff, DMD

NPI 1326703984 · on the registry since 2021 · sole proprietor

Practice

Address
1310 Shermer Rd Ste 50
Northbrook, IL 60062
Phone
(847) 272-0049
Organisation at this address
L W Henselman Dds Pc
Associated Pediatrics Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-08

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