Whalio Doctors

NPI 1578333266

Kortney Spectre

Practitioner Dental Hygienist Great Lakes, IL

Practice location

Address
2410 Sampson St, Great Lakes, IL 60088-2942
Phone
(847) 688-3331
Mailing address
35915 N Watson Ave, Ingleside, IL 60041-9172

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 020011128 (IL)

Registry record

NPI
1578333266
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Jan 2024
Record last updated
4 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.