Individual
DR. MICHAEL CRISCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
64 OLD ORCHARD RD., SUITE 221, SKOKIE, IL 60077-1412
(847) 674-2463
(847) 674-2496
Mailing address
4905 OLD ORCHARD CTR, STE 221, SKOKIE, IL 60077-4741
(847) 674-2463
(847) 674-2496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-017179
IL
Other
Enumeration date
04/20/2007
Last updated
09/27/2016
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