Provider Demographics
NPI:1417000704
Name:FRENCH, KATHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PARK BLVD
Mailing Address - Street 2:SUITE 180C
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143
Mailing Address - Country:US
Mailing Address - Phone:630-773-6966
Mailing Address - Fax:630-773-6971
Practice Address - Street 1:500 PARK BLVD
Practice Address - Street 2:SUITE 180C
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143
Practice Address - Country:US
Practice Address - Phone:630-773-6966
Practice Address - Fax:630-773-6971
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist