Provider Demographics
NPI:1548284250
Name:READER, JOHN R (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:READER
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:960 IL ROUTE 22
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-1953
Mailing Address - Country:US
Mailing Address - Phone:847-639-8008
Mailing Address - Fax:847-639-8172
Practice Address - Street 1:960 IL ROUTE 22
Practice Address - Street 2:SUITE 206
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021-1953
Practice Address - Country:US
Practice Address - Phone:847-639-8008
Practice Address - Fax:847-639-8172
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice