| Fred J. Marchese Dds, Ltd | |
|
1440 W North Ave Suite 304 Melrose Park IL 60160-1422 | |
| (708) 343-6065 | |
| (708) 343-6287 |
| Full Name | Fred J. Marchese Dds, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1440 W North Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Fred J. Marchese (OWNER) |
| Authorized Official Contact | 7083436065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred J. Marchese Dds, Ltd 1440 W North Ave Suite 304 Melrose Park IL 60160-1422 Ph: (708) 343-6065 | Fred J. Marchese Dds, Ltd 1440 W North Ave Suite 304 Melrose Park IL 60160-1422 Ph: (708) 343-6065 |
| NPI Number | 1497025324 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497025324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019019113 (Illinois) | Primary |
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