Search › Illinois › 1223S0112X
John Richard, DDS
NPI 1700865441 · on the registry since 2006
Practice
- Address
- 690 North Route 31
Crystal Lake, IL 60012 - Phone
- (815) 459-5600
- Fax
- (815) 459-5601
- Organisation at this address
- Candace M Opon Dds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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