Provider Demographics
NPI:1720319445
Name:ONIK, CONNIE L (D M D)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:L
Last Name:ONIK
Suffix:
Gender:F
Credentials:D M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 BROM CT STE 105
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6533
Mailing Address - Country:US
Mailing Address - Phone:630-420-2800
Mailing Address - Fax:630-355-3306
Practice Address - Street 1:720 BROM CT STE 105
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6533
Practice Address - Country:US
Practice Address - Phone:630-420-2800
Practice Address - Fax:630-355-3306
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0261701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice