Richard M. Janiczek, Dds., Ltd. | |
10359 Ridgeland Ave Chicago Ridge IL 60415-1585 | |
(708) 422-1002 | |
Not Available |
Full Name | Richard M. Janiczek, Dds., Ltd. |
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Speciality | Dentist - General Practice |
Location | 10359 Ridgeland Ave, Chicago Ridge, Illinois |
Authorized Official Name and Position | Richard M Janiczek (PRESIDENT) |
Authorized Official Contact | 7084221002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard M. Janiczek, Dds., Ltd. 10359 Ridgeland Ave Chicago Ridge IL 60415-1585 Ph: (708) 422-1002 | Richard M. Janiczek, Dds., Ltd. 10359 Ridgeland Ave Chicago Ridge IL 60415-1585 Ph: (708) 422-1002 |
NPI Number | 1285785188 |
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Provider Enumeration Date | 01/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1285785188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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