J. Michael Krisko Dds, Ltd.

NPI #1841298817 in Kankakee, Illinois

Provider Information

NPI Number: 1841298817
Entity Type: Organization
Organization Name: J. Michael Krisko Dds, Ltd.
Primary Specialty: Dentist
Enumeration Date: Jul 13, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 401 N WALL ST
Address 2: STE 206
City: Kankakee
State: Illinois
ZIP Code: 60901-2934
Phone: (815) 468-1930

Authorized Official

Name: J. MICHAEL KRISKO, D.D.S.
Title: PRESIDENT
Phone: (815) 468-1930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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