James M Fieldhouse DDS Ltd
Dentist in La Grange Park, IL. Organization (NPI-2).
NPI number1255428637
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1255428637
- Entity type
- Organization (NPI-2)
- Legal business name
- James M Fieldhouse DDS Ltd
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019015807 | IL | Yes |
Practice location
360 Sherwood RoadLa Grange Park, IL 60526-1967
Phone 708-354-7363 · Fax 708-354-7371
Mailing address
360 Sherwood RoadLa Grange Park, IL 60526-1967
Phone 708-354-7363 · Fax 708-354-7371
Authorized official
James McKay Fieldhouse
President
7083547363
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