Individual
DR. PETER ERNEST FAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1645 IRVING PARK RD, #202, HANOVER PARK, IL 60133
(630) 837-5156
(630) 837-5156
Mailing address
1645 IRVING PARK RD, #202, HANOVER PARK, IL 60133
(630) 837-5156
(630) 837-5156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019023574
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001842
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005299
—
IL
Enumeration date
05/22/2008
Last updated
05/22/2008
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