Farrell

NPI #1659602902 in Lockport, Illinois

Provider Information

NPI Number: 1659602902
Entity Type: Organization
Organization Name: Farrell
Subpart: Yes (part of a larger organization)
Parent Organization: TWO RIVERS DENTAL PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 27, 2010
Last Updated: Dec 10, 2020

Practice Location

Address: 16533 W 159TH ST
City: Lockport
State: Illinois
ZIP Code: 60441-7900
Phone: (815) 836-3700

Authorized Official

Name: SOHAIL S SHAFI
Title: MANAGER
Phone: (630) 842-3705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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