Individual
DR. FRED PETER BIASIELLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5445 GRAND AVE, STE 202, GURNEE, IL 60031-1725
(847) 244-2775
(847) 244-2777
Mailing address
605 E ALGONQUIN RD, STE 300, ARLINGTON HEIGHTS, IL 60005-4373
(847) 640-1112
(847) 510-0548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027965
IL
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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