ROBERTA ELLEN WISUN

GREAT LAKES, IL
NPI1689651333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-021086)
Enumeration Date2005-12-23
Last Update Date2007-07-08
Business Address
Dr. ROBERTA ELLEN WISUN DDS
3001 6TH ST
GREAT LAKES, IL 60088-2833
Phone number: 847-688-2100
Mailing Address
Dr. ROBERTA ELLEN WISUN DDS
1251 N MAIDSTONE DR
VERNON HILLS, IL 60061-1087
Phone number: 847-362-4794