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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN MANNELLY

Active

JOHN MANNELLY is a General Dentistry healthcare provider located in MACHESNEY PARK, Illinois. NPI 1881979466 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MACHESNEY PARK, IL

Registration Details

NPI Number
1881979466
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2011 (14.848279904255 yrs)
Last Updated
Jan 5, 2012
License
019.028879 (IL)

Practice Information

Address
1363 W LANE RD
MACHESNEY PARK, IL, 611151621
Browse IL providers · Browse ZIP 61115
Phone
8156372800
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in MACHESNEY PARK, IL

Name Credential NPI
DR. NATHAN WILLIAM MOGREN D.M.D. 1285794560
DR. KENNETH MICHAEL LUTSCH 1851415376
MITUL V PATEL DMD 1801183215
TOMMY JOHN CASTILLO SAGADRACA D.M.D 1215387113
SUNITHA ANN SAMUEL DDS 1497374425
DR. DEBERA SHU-MIN WANG DMD 1821721267
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.