DR. RICHARD N FACKO (NPI# 1487977765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487977765 |
| Entity Type | Individual |
| Full Name | DR. RICHARD N FACKO |
| Credential | DDS |
| Practice Address |
7440 W College Dr A-200 Palos Heights IL 60463-1375 |
| Practice Telephone | 7082636708 |
| Mailing Telephone | 7082636708 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019.028264 | IL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
021.002462 | IL | Dental Providers |
| Street Address |
7440 W COLLEGE DR A-200 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265541940 | Antonino Ilardo | Dentist | 7440 W College Dr, Ste A-100, Palos Heights, IL 60463-1375 | 2006-08-29 |
| 1396867057 | Lisa Mutter | Developmental Therapist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-04-04 |
| 1417079104 | Shannon Clark | Developmental Therapist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-04-04 |
| 1700911757 | Denise Byrne | Speech-Language Pathologist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-02-22 |
| 1497880454 | Nicole Hallman | Speech-Language Pathologist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-02-22 |
| 1578698528 | Michele Dillon | Speech-Language Pathologist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-02-22 |
| 1528103942 | Bridget Duffy | Speech-Language Pathologist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-02-21 |
| 1427193788 | Christa Gonzalez | Speech-Language Pathologist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-02-21 |
| 1063557312 | Kerry Palider | Speech-Language Pathologist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2007-02-21 |
| 1306901707 | Carolyn Joan Buchanan | Speech-Language Pathologist | 7440 W College Dr, Suite 200, Palos Heights, IL 60463-1375 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598848251 | Sarlas and Savas Dds Ltd | Dentist | 7001 W 127th St, Suite 103, Palos Heights, IL 60463-1573 | 2006-10-24 |
| 1457461857 | Neophytos Leon Savide | Dentist | 12001 S Harlem Ave, Palos Heights, IL 60463-1139 | 2006-08-30 |
| 1932288537 | Peter Perry Savas | Dentist | 7001 W 127th St, Suite 103, Palos Heights, IL 60463-1573 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.