Organization · Type 2 NPI
Richard N Facko, D.d.s., P.c.
Dental Clinic/Center · Chicago, IL
NPI number
1114298155
Active
Practice location
811 S Lytle St, Unit 217
Chicago, IL 60607-4164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019.028264 (IL) |
Dental Clinic/Center: Definition to come...
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About NPI 1114298155
Richard N Facko, D.d.s., P.c.'s National Provider Identifier is 1114298155, issued on Jan 23, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Jan 23, 2012.