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Contact Information

PAULA S FILLAK, DMD
25214 W REED ST
CHANNAHON, IL60410
 Phone: 815-922-7342
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PAULA S FILLAK · (Female)

NPI Number 1558594580
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/25/2009
Last updated 08/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019023056
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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