J Michael Krisko, DDS

General Practice Dentistry · Kankakee, IL

Individual Active NPI

NPI number 1710034574

Practice location

401 N Wall St
Ste 206
Kankakee, IL 60901-2934
Phone
(815) 939-2012
Fax
(815) 939-0920

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NPI record

NPI
1710034574
Entity type
Individual (Type 1)
Enumeration date
January 4, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Krisko

J Michael Krisko, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 401 N Wall St, Ste 206, Kankakee, IL 60901-2934. The NPI number 1710034574 was assigned on January 4, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of J Michael Krisko, DDS?

The NPI number is 1710034574.

What is the phone number of Dr. Krisko?

The phone number listed for the practice location is (815) 939-2012.

Where is Dr. Krisko located?

401 N Wall St, Ste 206, Kankakee, IL 60901-2934.

What is the taxonomy code for Dr. Krisko?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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