Individual
JEROME AUSTRIACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
235 N NORTHWEST HWY, PALATINE, IL 60067-5326
(847) 359-7520
Mailing address
17 N ALDINE AVE, PARK RIDGE, IL 60068-3005
(847) 292-6666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-021311
IL
122300000X
Dentist
51455
CA
Other
Enumeration date
05/17/2007
Last updated
11/24/2011
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