JOSE QUIROGA PERALTA

NORTH CHICAGO, IL
NPI1821282625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020012261)
Enumeration Date2007-09-05
Last Update Date2007-09-05
Business Address
Mr. JOSE QUIROGA PERALTA
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064-2801
Phone number: 847-689-3800
Mailing Address
Mr. JOSE QUIROGA PERALTA
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064-2801
Phone number: 847-689-3800