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DENTAL GROUP OF CHICAGO INC NPI 1093063893


NPI Information

NPI: 1093063893
Provider Name: DENTAL GROUP OF CHICAGO, INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1556 S MICHIGAN AVE
SUITE 110
CHICAGO, IL
ZIP 60605
Phone: (312) 588-0043
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DENTAL GROUP OF CHICAGO, INC 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. DENTAL GROUP OF CHICAGO, INC NPI is 1093063893. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1556 S MICHIGAN AVE
SUITE 110
CHICAGO, IL
ZIP 60605-937
Phone: (312) 588-0043
Fax: (312) 588-0287

The provider's authorized official is Robert A Uhland .
The authorized official title is Owner/orthodontist and has the following contact phone number (312) 588-0043.

The enumeration date for this NPI number is 8/27/2012 and was last updated on 8/27/2012.


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
11223X0400XDentistOrthodontics and Dentofacial Orthopedics021.001397ILLINOISNo
21223G0001XDentistGeneral Practice019.019480ILLINOISYes

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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