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Contact Information

KATHERINE A KUNTZ JAKUC, DDS
6901 N KNOXVILLE AVE
SUITE 100
PEORIA, IL61614
 Phone: 309-691-3230
 Fax: 309-691-3250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for KATHERINE A KUNTZ JAKUC · (Female)

NPI Number 1346579240
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/24/2009
Last updated 12/24/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019023996
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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