John Mannelly
NPI #1881979466 in Machesney Park, Illinois
Provider Information
- NPI Number
- 1881979466
- Entity Type
- Individual
- Name
- John Mannelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 14, 2011
- Last Updated
- Jan 5, 2012
Practice Location
- Address
- 1363 W LANE RD
- City
- Machesney Park
- State
- Illinois
- ZIP Code
- 61115-1621
- Phone
- (815) 637-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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