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Contact Information

PATRICK I FITZGERALD, DDS
350 S NORTHWEST HWY
SUITE 116
PARK RIDGE, IL60068-4216
 Phone: 847-823-4161
 Fax: 847-823-4163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PATRICK I FITZGERALD · (Male)

NPI # 1730243213
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/20/2006
Last updated 03/09/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 019025826
  • IL License # 021002186
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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