Individual provider · Type 1 NPI

Ellen E. Tkach, DDS

General Practice Dentistry · Grayslake, IL

NPI number 1194998252 Active

About NPI 1194998252

Ellen E. Tkach, DDS's National Provider Identifier is 1194998252, issued on Apr 9, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grayslake, IL. The record was last updated on Apr 10, 2008.