IMPLANT ENDO INC NPI 1215485677

NPI Information

  • NPI: 1215485677
  • Provider Name: IMPLANT ENDO INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 505 N LAKE SHORE DR STE 215
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 467-3771

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NPI Details

IMPLANT ENDO INC is a dental clinic center in Chicago, IL. IMPLANT ENDO INC NPI is 1215485677. The provider is registered as an organization entity type.

The provider's business location address is:

505 N LAKE SHORE DR STE 215
CHICAGO, IL
ZIP 60611-678
Phone: (312) 467-3771
Fax: (312) 467-4684

The provider's authorized official is Kyung-soo Choi .
The authorized official title is President and has the following contact phone number (213) 245-4564.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 9/14/2016.

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
1261QD0000XClinic/CenterDental019024334ILLINOISYes

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: 11/21/2025

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