| Fischl Dental Associates, P.c. | |
|
636 Church Street Suite 200w Evanston IL 60201-4578 | |
| (847) 864-0822 | |
| (847) 864-9799 |
| Full Name | Fischl Dental Associates, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 636 Church Street, Evanston, Illinois |
| Authorized Official Name and Position | Paul L Fischl (PRESIDENT) |
| Authorized Official Contact | 8478640822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fischl Dental Associates, P.c. 636 Church Street Suite 200w Evanston IL 60201-4578 Ph: (847) 864-0822 | Fischl Dental Associates, P.c. 636 Church Street Suite 200w Evanston IL 60201-4578 Ph: (847) 864-0822 |
| NPI Number | 1871718452 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871718452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | 060006229 020004357 (Illinois) | Secondary |
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