Provider Demographics
NPI:1952324816
Name:SPILOTRO, PATRICK A JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:A
Last Name:SPILOTRO
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PLYMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3152
Mailing Address - Country:US
Mailing Address - Phone:847-607-9590
Mailing Address - Fax:847-784-0705
Practice Address - Street 1:281 WAUKEGAN RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-2718
Practice Address - Country:US
Practice Address - Phone:847-784-9800
Practice Address - Fax:847-784-0705
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice