Individual
MR. JOSEPH EDWARD STATKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11350 S CICERO AVE, ALSIP, IL 60803
(708) 388-9313
(708) 293-1144
Mailing address
10001 SOUTH MASSASOIT, OAK LAWN, IL 60453
(708) 424-1917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19015165
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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