John Mannelly
John Mannelly is a General Practice Dentistry in Machesney Park, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1363 W Lane RdMachesney Park, IL 61115-1621
Phone: (815) 637-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019.028879 (IL) |
|---|
Record details
| NPI number | 1881979466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 14, 2011 |
| Last updated in NPPES | January 5, 2012 |
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