Search › Illinois › 122300000X
Jonathan Faber, DMD
NPI 1164659108 · on the registry since 2009
Practice
- Address
- 1201 W Madison St
Ottawa, IL 61350 - Phone
- (815) 433-1242
- Fax
- (815) 433-6931
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois