Individual
DR. PAULA SUSAN FILLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
25214 W REED ST, CHANNAHON, IL 60410
(815) 922-7342
Mailing address
10805 OAKTON CT, FRANKFORT, IL 60423-8541
(815) 922-7342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023056
IL
Other
Enumeration date
08/25/2009
Last updated
08/25/2014
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