| Farrell | |
|
16533 W 159th St Lockport IL 60441-7900 | |
| (815) 836-3700 | |
| (815) 836-3701 |
| Full Name | Farrell |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16533 W 159th St, Lockport, Illinois |
| Authorized Official Name and Position | Sohail S Shafi (MANAGER) |
| Authorized Official Contact | 6308423705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farrell 1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (815) 836-3700 | Farrell 16533 W 159th St Lockport IL 60441-7900 Ph: (815) 836-3700 |
| NPI Number | 1659602902 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659602902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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