| Joseph R. Sperlazzo D.d.s., P.c. | |
|
421 W Irving Park Rd Itasca IL 60143-2039 | |
| (630) 773-9166 | |
| Not Available |
| Full Name | Joseph R. Sperlazzo D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 421 W Irving Park Rd, Itasca, Illinois |
| Authorized Official Name and Position | Joseph R. Sperlazzo (PRESIDENT) |
| Authorized Official Contact | 6307739166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph R. Sperlazzo D.d.s., P.c. 421 W Irving Park Rd Itasca IL 60143-2039 Ph: () - | Joseph R. Sperlazzo D.d.s., P.c. 421 W Irving Park Rd Itasca IL 60143-2039 Ph: (630) 773-9166 |
| NPI Number | 1821263773 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821263773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019020307 (Illinois) | Primary |
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