Individual
DR. RICHARD SIMCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1126 WESTGATE ST, OAK PARK, IL 60301-1008
(708) 383-8851
(708) 383-6272
Mailing address
1126 WESTGATE ST, OAK PARK, IL 60301-1008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K48428
PTAN
IL
Enumeration date
02/05/2007
Last updated
03/06/2008
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