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HARLEM IRVING FAMILY DENTAL LLC NPI 1104302439


NPI Information

NPI: 1104302439
Provider Name: HARLEM IRVING FAMILY DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7601 W IRVING PARK RD STE 102
CHICAGO, IL
ZIP 60634
Phone: (773) 589-9220
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HARLEM IRVING FAMILY DENTAL, LLC is a dental clinic center in Chicago, IL. HARLEM IRVING FAMILY DENTAL, LLC NPI is 1104302439. The provider is registered as an organization entity type.

The provider's business location address is:

7601 W IRVING PARK RD STE 102
CHICAGO, IL
ZIP 60634-140
Phone: (773) 589-9220

The provider's authorized official is Kristy Wolter .
The authorized official title is Insurance Manager and has the following contact phone number (630) 869-5857.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 7/19/2018.


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
1261QD0000XClinic/CenterDental19017598ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.