Individual
DR. J MICHAEL KRISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 N WALL ST, STE 206, KANKAKEE, IL 60901-2934
(815) 939-2012
(815) 939-0920
Mailing address
401 N WALL ST, STE 206, KANKAKEE, IL 60901-2934
(815) 939-2012
(815) 939-0920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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