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Ian Gwaltney
NPI 1487221933 · on the registry since 2021
Practice
- Address
- 1275 E Belvidere Rd Ste 150
Grayslake, IL 60030 - Phone
- (847) 735-0828
- Fax
- (847) 735-0838
- Organisation at this address
- Id Orthodoctics Llc
Identity Orthodontics
G G Family Dental Care Pc
German Dental Acquisition Pc
Family Doctors Of Round Lake PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Sex
- Male
- Record last updated
- 2021-06-04
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