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DAMEN NORTH DENTAL GROUP LTD NPI 1083623201


NPI Information

NPI: 1083623201
Provider Name: DAMEN NORTH DENTAL GROUP LTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1725 W NORTH AVE STE 102
CHICAGO, IL
ZIP 60622
Phone: (773) 227-1048
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DAMEN NORTH DENTAL GROUP LTD is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DAMEN NORTH DENTAL GROUP LTD NPI is 1083623201. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1725 W NORTH AVE STE 102
CHICAGO, IL
ZIP 60622-106
Phone: (773) 227-1048
Fax: (773) 227-3218

The provider's authorized official is William Li .
The authorized official title is Dentist/owner and has the following contact phone number (773) 227-1048.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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