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CHICAGO DENTAL PROFESSIONALS INC NPI 1205841996


NPI Information

NPI: 1205841996
Provider Name: CHICAGO DENTAL PROFESSIONALS INC
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
2340 N CLYBOURN
CHICAGO, IL
ZIP 60614
Phone: (773) 528-2205
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CHICAGO DENTAL PROFESSIONALS INC is an orthodontics and dentofacial orthopedics dentist in Chicago, IL. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. CHICAGO DENTAL PROFESSIONALS INC NPI is 1205841996. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2340 N CLYBOURN
CHICAGO, IL
ZIP 60614
Phone: (773) 528-2205
Fax: (773) 528-2216

The provider's authorized official is Andrew T Weiss .
The authorized official title is President and has the following contact phone number (773) 528-2205.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 12/29/2011.


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
1122300000XDentist019020453ILLINOISNo
2122300000XDentist019014591ILLINOISNo
3122300000XDentist019017259ILLINOISNo
41223P0221XDentistPediatric Dentistry021000499ILLINOISNo
51223P0221XDentistPediatric Dentistry019028564ILLINOISNo
61223X0400XDentistOrthodontics and Dentofacial Orthopedics021000831ILLINOISYes

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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