Individual
EDWARD J KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
590 BANKVIEW DR STE A, FRANKFORT, IL 60423-1858
(815) 469-3373
Mailing address
590 BANKVIEW DR STE A, FRANKFORT, IL 60423-1858
(815) 469-3373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019120344
IL
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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