Fred Rauschert, DDS

NPI #1962615450 in Chicago, Illinois

Provider Information

NPI Number: 1962615450
Entity Type: Individual
Name: Fred Rauschert, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1025 W WEBSTER AVE
City: Chicago
State: Illinois
ZIP Code: 60614-3502
Phone: (773) 348-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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