Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICK MICHEAL CUSACK, DMD,MSD
Active Sole ProprietorDR. PATRICK MICHEAL CUSACK, DMD,MSD is a Orthodontics healthcare provider located in PEORIA, Illinois. NPI 1073733275 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PEORIA, IL
Registration Details
- NPI Number
- 1073733275
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2007 (19.262820314401 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1324 W. NORTHMOOR RD.PEORIA, IL, 61614Browse IL providers · Browse ZIP 61614
- Phone
- 3096933200
- Fax
- 3096932499
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN L SCHULER | DDS,MS | 1891777801 |
| DR. CRAIG A SINCLAIR | DDS MS | 1679687834 |
| DR. BRIAN R DEGISE | DDS, PC | 1083708648 |
| MELISSA K ROEHM-STIGALL | D.D.S., M.S. | 1760695225 |
| STEPHEN C ROEHM | D.D.S., M.S. | 1902058985 |
| PATRICK MCSHANE | — | 1770907032 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.