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Organization
FREDERICK M. FITZPATRICK, D.D.S., P.C.
Active
Organization
FREDERICK M. FITZPATRICK, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED M FITZPATRICK (PRESIDENT)
(815) 459-2727
Entity
Organization
Contact information
Practice address
690 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3790
(815) 459-2727
Mailing address
651 WOODLAND DR, CRYSTAL LAKE, IL 60014-5214
(815) 459-9230
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
A13595
IL
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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