Individual
DR. RICHARD N FACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6446 W 127TH ST, PALOS HEIGHTS, IL 60463-2248
(708) 263-6708
Mailing address
6446 W 127TH ST, PALOS HEIGHTS, IL 60463-2248
(708) 263-6708
(708) 263-6707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028264
IL
1223P0221X
Pediatric Dentistry
Primary
021.002462
IL
Other
Enumeration date
03/01/2010
Last updated
07/05/2022
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