Mark J Humenik, Dds, PC
NPI #1598946881 in Northbrook, Illinois
Provider Information
- NPI Number
- 1598946881
- Entity Type
- Organization
- Organization Name
- Mark J Humenik, Dds, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Nov 15, 2007
Practice Location
- Address
- 1220 MEADOW RD
- Address 2
- SUITE 306
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-3698
- Phone
- (847) 272-5400
Authorized Official
- Name
- DR. MARK JOSEPH HUMENIK, DDS
- Title
- PRESIDENT
- Phone
- (847) 272-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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