VENUS DE MILO DENTISTRY NPI 1093053167

NPI Information

NPI: 1093053167
Provider Name: VENUS DE MILO DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3334 W PETERSON AVE
LOWER LEVEL
CHICAGO, IL
ZIP 60659
Phone: (773) 588-9200
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VENUS DE MILO DENTISTRY is a dental clinic center in Chicago, IL. VENUS DE MILO DENTISTRY NPI is 1093053167. The provider is registered as an organization entity type.

The provider's business location address is:

3334 W PETERSON AVE
LOWER LEVEL
CHICAGO, IL
ZIP 60659-505
Phone: (773) 588-9200
Fax: (773) 588-9201

The provider's authorized official is Reem M Obaisi .
The authorized official title is Dentist and has the following contact phone number (773) 588-9200.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 1/24/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	019027619	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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