Individual
NICHOLAS FORNATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9101 S CICERO AVE, OAK LAWN, IL 60453-1804
(708) 419-1601
Mailing address
1720 W LE MOYNE ST # 201, CHICAGO, IL 60622-2133
(630) 531-7528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019036134
IL
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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