Jean Corriveau
General Practice Dentistry · Chatham, IL
Practice location
1209 N. Main St.Chatham, IL 62629
- Phone
- (217) 483-5019
- Fax
- (217) 483-5019
NPI record
- NPI
- 1962518860
- Entity type
- Individual (Type 1)
- Enumeration date
- August 22, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
19013801 | IL |
Mailing address
PO Box 303Chatham, IL 62629
- Phone
- (217) 483-5019
- Fax
- (217) 483-5019
About Jean Corriveau
Jean Corriveau is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1209 N. Main St., Chatham, IL 62629. The NPI number 1962518860 was assigned on August 22, 2006 and the record was last updated on July 8, 2007.
Jean Corriveau lists a license in the registry: #19013801 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jean Corriveau?
The NPI number is 1962518860.
What is the phone number of Jean Corriveau?
The phone number listed for the practice location is (217) 483-5019.
Where is Jean Corriveau located?
1209 N. Main St., Chatham, IL 62629.
What is the taxonomy code for Jean Corriveau?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Chatham
- Timothy C. Lonergan, DMD120 N Main St