PATRICK MICHEAL CUSACK

PEORIA, IL
NPI1073733275
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  019 024413)
Enumeration Date2007-04-27
Last Update Date2007-07-08
Business Address
Dr. PATRICK MICHEAL CUSACK DMD,MSD
1324 W. NORTHMOOR RD.
PEORIA, IL 61614
Phone number: 309-693-3200
Mailing Address
Dr. PATRICK MICHEAL CUSACK DMD,MSD
1324 W NORTHMOOR RD
PEORIA, IL 61614-3470
Phone number: 309-693-3200
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