| Jeanelle Marchese Dmd, Ltd | |
|
1001 Ogden Ave Suite C Lisle IL 60532-1395 | |
| (630) 220-8401 | |
| (630) 969-2341 |
| Full Name | Jeanelle Marchese Dmd, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 Ogden Ave, Lisle, Illinois |
| Authorized Official Name and Position | Jeanelle Marchese (DENTIST) |
| Authorized Official Contact | 6302208401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanelle Marchese Dmd, Ltd 1001 Ogden Ave Suite C Lisle IL 60532-1395 Ph: (630) 220-8401 | Jeanelle Marchese Dmd, Ltd 1001 Ogden Ave Suite C Lisle IL 60532-1395 Ph: (630) 220-8401 |
| NPI Number | 1174991905 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174991905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019030388 (Illinois) | Primary |
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