Search › Illinois › 122300000X
Jonathan Flaksman
NPI 1437609955 · on the registry since 2016 · sole proprietor
Practice
- Address
- 430 Barron Blvd
Grayslake, IL 60030 - Phone
- (847) 962-1057
- Organisation at this address
- Bright Smile Dental
Restorative Health Center ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-02
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