| J. Michael Krisko Dds, Ltd. | |
|
401 N Wall St Ste 206 Kankakee IL 60901-2934 | |
| (815) 468-1930 | |
| (815) 939-0920 |
| Full Name | J. Michael Krisko Dds, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 401 N Wall St, Kankakee, Illinois |
| Authorized Official Name and Position | J. Michael Krisko (PRESIDENT) |
| Authorized Official Contact | 8154681930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Michael Krisko Dds, Ltd. 508 Barry Turn Manteno IL 60950-1657 Ph: (815) 468-1930 | J. Michael Krisko Dds, Ltd. 401 N Wall St Ste 206 Kankakee IL 60901-2934 Ph: (815) 468-1930 |
| NPI Number | 1841298817 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841298817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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