Dr. Fabian David Latocha
Oral and Maxillofacial Surgeon
202 S Greenleaf St Suite A
Gurnee
, Illinois 60031-3399
Dr. Fabian David Latocha
Oral and Maxillofacial Surgeon
202 S Greenleaf St Suite A
Gurnee
, Illinois 60031-3399
(847) 746-7517
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Fabian David Latocha
- 13380 W 21st St
- Wadsworth, IL
- Zip : 60083-9474
- Phone : (847) 746-7517
Second Address
- Dr. Fabian David Latocha
- 202 S Greenleaf St Suite A
- Gurnee, IL
- Zip : 60031-3399
- Fax : (847) 623-1534
- Phone : (847) 623-2830
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | IL |
National Provider Identifier
| NPI | 1033167242 |
|---|---|
| Provider Name | Dr. Fabian David Latocha |
| First Address | Wadsworth, IL 60083-9474 |
| Second Address | Gurnee, IL 60031-3399 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.