FRED J. MARCHESE DDS LTD NPI 1497025324

NPI Information

NPI: 1497025324
Provider Name: FRED J. MARCHESE DDS, LTD
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1440 W NORTH AVE
SUITE 304
MELROSE PARK, IL
ZIP 60160
Phone: (708) 343-6065
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FRED J. MARCHESE DDS, LTD is a dental clinic center in Melrose Park, IL. FRED J. MARCHESE DDS, LTD NPI is 1497025324. The provider is registered as an organization entity type.

The provider's business location address is:

1440 W NORTH AVE
SUITE 304
MELROSE PARK, IL
ZIP 60160-422
Phone: (708) 343-6065
Fax: (708) 343-6287

The provider's authorized official is Fred J. Marchese .
The authorized official title is Owner and has the following contact phone number (708) 343-6065.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 1/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	019019113	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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