| Frederick M. Fitzpatrick, D.d.s., P.c. | |
|
690 N Il Route 31 Crystal Lake IL 60012-3790 | |
| (815) 459-2727 | |
| Not Available |
| Full Name | Frederick M. Fitzpatrick, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 690 N Il Route 31, Crystal Lake, Illinois |
| Authorized Official Name and Position | Fred M Fitzpatrick (PRESIDENT) |
| Authorized Official Contact | 8154592727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick M. Fitzpatrick, D.d.s., P.c. 651 Woodland Dr Crystal Lake IL 60014-5214 Ph: (815) 459-9230 | Frederick M. Fitzpatrick, D.d.s., P.c. 690 N Il Route 31 Crystal Lake IL 60012-3790 Ph: (815) 459-2727 |
| NPI Number | 1700990447 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700990447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | A13595 (Illinois) | Primary |
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