Individual
DR. FRED J. MARCHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1440 W NORTH AVE, SUITE 304, MELROSE PARK, IL 60160-1422
(708) 343-6065
(708) 343-6287
Mailing address
1440 W. NORTH AVE, SUITE 304, MELROSE PARK, IL 60160-1426
(708) 343-6065
(708) 343-6287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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