Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK EDGAR OSTERHAUS, DDS
ActiveDR. JACK EDGAR OSTERHAUS, DDS is a General Dentistry healthcare provider located in LASALLE, Illinois. NPI 1427480177 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LASALLE, IL
Registration Details
- NPI Number
- 1427480177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2013 (12.846302389564 yrs)
- Last Updated
- Aug 5, 2013
- License
-
019.029567 (IL)
Practice Information
- Address
-
2424 CHARTRES STREETLASALLE, IL, 613011107Browse IL providers · Browse ZIP 61301
- Phone
- 8152236013
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LASALLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL E OCONNELL | DDS | 1538368733 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.