Fred M Fitzpatrick D.D.S.

NPI 1063526796 - Dentist - 1223P0221X

NPI Details
NPI 1063526796
Gender Male
Enumeration Date 08/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
690 N IL ROUTE 31
CRYSTAL LAKE IL, 60012-3790, US
Phone (815) 459-2727
Business Location
CRYSTAL LAKE IL, 60014-5214, US
Phone (815) 459-9230
Taxonomy Code 1223P0221X
License State Illinois
License Number A13595
Remove 1063526796 NPI Number

According to our database, Dr. Fred M Fitzpatrick D.D.S. NPI is 1063526796, taxonomy code is 1223P0221X and license number is A13595, license state is located at Illinois. Fred M Fitzpatrick D.D.S. physically located at 690 N Il Route 31, Crystal Lake IL, 60012-3790. NPI Number Fred M Fitzpatrick D.D.S. has the Individual type.

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1063526796 NPI number is provided on an as is basis without warranty of any kind. 1063526796 is maintained by the National Plan & Provider Enumeration System. The contents of Fred M Fitzpatrick D.D.S. are for informational purposes only.