SearchIllinoisDentist

Marcin Jasek, D.D.S

NPI 1164836748 · on the registry since 2014 · sole proprietor

Practice

Address
6417 E Riverside Blvd
Rockford, IL 61114
Phone
(815) 282-5233
Clinicians at this address
5

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-11

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