| Michael D. Fedyna Dds, Ltd. | |
|
8 Executive Ct Suite 2 South Barrington IL 60010-9531 | |
| (847) 382-0700 | |
| (847) 382-0707 |
| Full Name | Michael D. Fedyna Dds, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 8 Executive Ct, South Barrington, Illinois |
| Authorized Official Name and Position | Michael D. Fedyna (PRESIDENT) |
| Authorized Official Contact | 8473820700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Fedyna Dds, Ltd. 8 Executive Ct Suite 2 South Barrington IL 60010-9531 Ph: (847) 382-0700 | Michael D. Fedyna Dds, Ltd. 8 Executive Ct Suite 2 South Barrington IL 60010-9531 Ph: (847) 382-0700 |
| NPI Number | 1710004510 |
|---|---|
| Provider Enumeration Date | 03/25/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710004510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.020146 (Illinois) | Primary |
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