Individual
DR. RICHARD JOHN PASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5945 S PULASKI RD, SUITE 10, CHICAGO, IL 60629-4550
(773) 776-5905
Mailing address
5945 S PULASKI RD, SUITE 10, CHICAGO, IL 60629-4550
(773) 776-5905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028655
IL
Other
Enumeration date
06/20/2011
Last updated
11/17/2014
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