Richard N Facko, D.d.s., P.c.

NPI 1114298155 - Clinic/Center - 261QD0000X

NPI Details
NPI 1114298155
Enumeration Date 01/23/2012
Last Updated 01/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD NORMAN RICHARD
Position PRESIDENT
Phone (708) 280-9234
Fax
Practice Location
811 S LYTLE ST
UNIT 217
CHICAGO IL, 60607-4164, US
Phone (708) 280-9234
Fax
Business Location
811 S LYTLE ST
UNIT 217
CHICAGO IL, 60607-4164, US
Phone (708) 280-9234
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Illinois
License Number 019.028264
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According to our database, Richard N Facko, D.d.s., P.c. NPI is 1114298155, taxonomy code is 261QD0000X and license number is 019.028264, license state is located at Illinois. Richard N Facko, D.d.s., P.c. physically located at 811 S Lytle St, Chicago IL, 60607-4164. NPI Number 1033115704 has the healthcare provider type.

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1114298155 NPI number is provided on an as is basis without warranty of any kind. 1114298155 is maintained by the National Plan & Provider Enumeration System. The contents of Richard N Facko, D.d.s., P.c. are for informational purposes only.