Individual
DR. MARIA FAKLARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
319 RANDALL RD, SOUTH ELGIN, IL 60177-2248
(847) 622-1095
(847) 622-1097
Mailing address
319 RANDALL RD, SOUTH ELGIN, IL 60177-2248
(847) 622-1095
(847) 622-1097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020173
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194891085
ORGANIZATION NPI
IL
01
—
1205145364
ORGANIZATION NPI
IL
Enumeration date
11/23/2006
Last updated
12/16/2014
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