Dr. Patrick Micheal Cusack
Orthodontists
1324 W. Northmoor Rd.
Peoria
, Illinois 61614
Dr. Patrick Micheal Cusack
Orthodontists
1324 W. Northmoor Rd.
Peoria
, Illinois 61614
(309) 693-2499
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Patrick Micheal Cusack
- 1324 W Northmoor Rd
- Peoria, IL
- Zip : 61614-3470
- Fax : (309) 693-2499
- Phone : (309) 693-3200
Second Address
- Dr. Patrick Micheal Cusack
- 1324 W. Northmoor Rd.
- Peoria, IL
- Zip : 61614
- Fax : (309) 693-2499
- Phone : (309) 693-3200
Reviews
FAQs
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Is Dr. Patrick Micheal Cusack a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | IL |
National Provider Identifier
| NPI | 1073733275 |
|---|---|
| Provider Name | Dr. Patrick Micheal Cusack |
| First Address | Peoria, IL 61614-3470 |
| Second Address | Peoria, IL 61614 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2007 |
| 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.