Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP FRYSTAK, DDS
Active Sole ProprietorDR. PHILIP FRYSTAK, DDS is a General Dentistry healthcare provider located in MEDINAH, Illinois. NPI 1497822290 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MEDINAH, IL
Registration Details
- NPI Number
- 1497822290
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.71953782182 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7N082 MEDINAH RD # 310MEDINAH, IL, 601579620Browse IL providers · Browse ZIP 60157
- Phone
- 6305295813
- Fax
- 6305295882
- Primary Specialty
-
General Dentistry
1223G0001X
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.