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Search › Illinois › 122300000X

Kyle Fairbanks, DMD

NPI 1568992733 · on the registry since 2017

Practice

Address
2500 W North Ave
Chicago, IL 60647
Phone
(773) 360-1281
Organisation at this address
Dental 360-Bucktown Llc
D2 Dental Of Lansing, P.C.
Dental Magic North Ave, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

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
2017-06-19

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