| Richard J Pasiewicz Dds Llc | |
|
7600 W College Dr Ste 17 Palos Heights IL 60463-1066 | |
| (708) 361-1770 | |
| Not Available |
| Full Name | Richard J Pasiewicz Dds Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7600 W College Dr Ste 17, Palos Heights, Illinois |
| Authorized Official Name and Position | Richard J Pasiewicz (OWNER) |
| Authorized Official Contact | 8477219945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Pasiewicz Dds Llc 1413 N Leavitt St Chicago IL 60622-1816 Ph: (847) 721-9945 | Richard J Pasiewicz Dds Llc 7600 W College Dr Ste 17 Palos Heights IL 60463-1066 Ph: (708) 361-1770 |
| NPI Number | 1861989287 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 04/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861989287 | NPI | - | NPPES |
| 1043506934 | Other | INDIVIDUAL NPI | |
| 021.002593 | Other | IL | LICENSE NUMBER |
| 019.028655 | Other | IL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 021.002593 (Illinois) | Primary |
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