# FREDERICK M. FITZPATRICK, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700990447
- **Authorized official:** DR. FRED M FITZPATRICK (PRESIDENT)
- **Authorized official phone:** (815) 459-2727

## Contact information

- **Practice address:** 690 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3790
- **Practice address phone:** (815) 459-2727
- **Mailing address:** 651 WOODLAND DR, CRYSTAL LAKE, IL 60014-5214
- **Mailing address phone:** (815) 459-9230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | A13595 | IL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/22/2020