JOHN JOSEPH RICHARD

CRYSTAL LAKE, IL
NPI1700865441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  019026082)
Enumeration Date2006-01-11
Last Update Date2007-07-08
Business Address
Dr. JOHN JOSEPH RICHARD DDS
690 NORTH ROUTE 31
CRYSTAL LAKE, IL 60012
Phone number: 815-459-5600
Mailing Address
Dr. JOHN JOSEPH RICHARD DDS
9915 CARLISLE LN
VILLAGE OF LAKEWOOD, IL 60014-4819
Phone number: 815-444-1533