Dr. Kevin Michael Andrus, DDS
Dentist, Oral and Maxillofacial Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1689797243
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1689797243
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Michael Andrus
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 021002192 | IL | Yes |
Practice location
201 E Huron StGalter Pavilion Suite 9-100
Chicago, IL 60611-3197
Phone 312-926-2929 · Fax 312-926-3595
Mailing address
201 E Huron StGalter Pavilion Suite 9-100
Chicago, IL 60611-3197
Phone 312-926-2929 · Fax 312-926-3595
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