| Richard J Osmanski, Dds Pc | |
|
77 E Crystal Lake Ave Crystal Lake IL 60014-6171 | |
| (815) 459-8650 | |
| (815) 455-9503 |
| Full Name | Richard J Osmanski, Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 77 E Crystal Lake Ave, Crystal Lake, Illinois |
| Authorized Official Name and Position | Richard Jude Osmanski (PRESIDEN/OWNER) |
| Authorized Official Contact | 8478547806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Osmanski, Dds Pc 6 Laurel Valley Ct Lake In The Hills IL 60156-5939 Ph: (847) 854-7806 | Richard J Osmanski, Dds Pc 77 E Crystal Lake Ave Crystal Lake IL 60014-6171 Ph: (815) 459-8650 |
| NPI Number | 1346415924 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346415924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021692 (Illinois) | Primary |
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