MEDICARE: DR. JOSEPH KARPIAK DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019.031257	IL

General Provider Information

NPI Number	:	1770005621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH KARPIAK DMD

Provider Business Mailing Address
First Line	:	1012 WALTER ST
Second Line	:
City	:	LEMONT
State	:	IL
Zip	:	60439-3975
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	760 BELOIT RD
Second Line	:
City	:	BELVIDERE
State	:	IL
Zip	:	61008-1745
Country	:	US
Telephone Number	:	815-547-5151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	06/16/2018

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