| Dr. Edward J. Brennan, Jr. D.d.s. & Dr. Mark J. Peloquin, D.d.s. Pc | |
|
15915 S Crystal Creek Dr Suite B Homer Glen IL 60491-9284 | |
| (708) 301-8660 | |
| (708) 301-8661 |
| Full Name | Dr. Edward J. Brennan, Jr. D.d.s. & Dr. Mark J. Peloquin, D.d.s. Pc |
|---|---|
| Speciality | Dentist |
| Location | 15915 S Crystal Creek Dr, Homer Glen, Illinois |
| Authorized Official Name and Position | Mark J. Peloquin (VICE PRESIDENT) |
| Authorized Official Contact | 7083018660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Edward J. Brennan, Jr. D.d.s. & Dr. Mark J. Peloquin, D.d.s. Pc 15915 S Crystal Creek Dr Suite B Homer Glen IL 60491-9284 Ph: (708) 301-8660 | Dr. Edward J. Brennan, Jr. D.d.s. & Dr. Mark J. Peloquin, D.d.s. Pc 15915 S Crystal Creek Dr Suite B Homer Glen IL 60491-9284 Ph: (708) 301-8660 |
| NPI Number | 1891910303 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891910303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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