AIDA FATUSIC BOSNJAK

LAKE FOREST, IL
NPI1912406455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.010057)
Enumeration Date2018-02-11
Last Update Date2018-02-11
Business Address
Mrs. AIDA FATUSIC BOSNJAK RDH, OMT,BBP
825 S WAUKEGAN RD
LAKE FOREST, IL 60045-2696
Phone number: 847-234-4800
Mailing Address
Mrs. AIDA FATUSIC BOSNJAK RDH, OMT,BBP
825 S WAUKEGAN RD
LAKE FOREST, IL 60045-2696
Phone number: 847-234-4800