Frederick M. Fitzpatrick, D.d.s., P.c.

NPI 1700990447 - Dentist - 1223P0221X

NPI Details
NPI 1700990447
Enumeration Date 08/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FRED M FRED
Position PRESIDENT
Phone (815) 459-2727
Fax
Practice Location
690 N IL ROUTE 31
CRYSTAL LAKE IL, 60012-3790, US
Phone (815) 459-2727
Fax
Business Location
651 WOODLAND DR
CRYSTAL LAKE IL, 60014-5214, US
Phone (815) 459-9230
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Illinois
License Number A13595
Remove 1700990447 NPI Number
 

According to our database, Frederick M. Fitzpatrick, D.d.s., P.c. NPI is 1700990447, taxonomy code is 1223P0221X and license number is A13595, license state is located at Illinois. Frederick M. Fitzpatrick, D.d.s., P.c. physically located at 690 N Il Route 31, Crystal Lake IL, 60012-3790. NPI Number 1033115704 has the healthcare provider type.

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1700990447 NPI number is provided on an as is basis without warranty of any kind. 1700990447 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick M. Fitzpatrick, D.d.s., P.c. are for informational purposes only.