Dr. Phillip J Fijal
Dentist in Des Plaines, IL. Individual provider (NPI-1).
NPI number1164561114
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164561114
- Entity type
- Individual (NPI-1)
- Name
- Dr. Phillip J Fijal
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1920121 | IL | Yes |
Practice location
29 N Broadway StDes Plaines, IL 60016-2335
Phone 847-824-5252 · Fax 847-824-7434
Mailing address
29 N Broadway StDes Plaines, IL 60016-2335
Phone 847-824-5252 · Fax 847-824-7434
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