JOHN RICHARD ELLIS

HINSDALE, IL
NPI1689682221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019014465)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
Dr. JOHN RICHARD ELLIS DDS
22 BLAINE ST
HINSDALE, IL 60521-4209
Phone number: 630-323-0061
Mailing Address
Dr. JOHN RICHARD ELLIS DDS
22 BLAINE ST
HINSDALE, IL 60521-4209
Phone number: 630-323-0061