Organization
BISCHOFF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J BISCHOFF (DDS)
(815) 633-7220
Entity
Organization
Contact information
Practice address
6726 COMMONWEALTH DR, LOVES PARK, IL 61111-8625
(815) 633-7220
Mailing address
6726 COMMONWEALTH DR, LOVES PARK, IL 61111-8625
(815) 633-7220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030619
IL
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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