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Dr. Janani Koteshwaran Gurukkal, DMD
General Practice Dentistry in Riverdale, Illinois
NPI 1124606538

Janani Koteshwaran Gurukkal is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Janani Koteshwaran Gurukkal practices in Riverdale, IL and has the professional credentials of DMD. The NPI Number for Janani Koteshwaran Gurukkal is 1124606538 and holds a License No. (Illinois).

The current practice location address for Janani Koteshwaran Gurukkal is 61 W 144Th St, Riverdale, IL and can be reached out via phone at 708-419-2204.

Location: 61 W 144Th St, Riverdale, IL, 60605-3527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124606538
Provider Name
Janani Koteshwaran Gurukkal
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
61 W 144Th St, Riverdale, IL, 60605-3527
Phone Number
708-419-2204
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
61 W 144Th St
City
Riverdale
State
Illinois
Zip
60827-2850
Phone Number
708-419-2204
Fax Number
person
Provider Business Mailing Address Details
Address
61 W 144Th St
City
Riverdale
State
Illinois
Zip
60827-2850
Phone Number
708-419-2204
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.033919 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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