WICKER PARK DENTAL LLC NPI 1326349770

NPI Information

NPI: 1326349770
Provider Name: WICKER PARK DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1738 W NORTH AVE
CHICAGO, IL
ZIP 60622
Phone: (773) 276-5566
Get Directions

WICKER PARK DENTAL LLC is a dental clinic center in Chicago, IL. WICKER PARK DENTAL LLC NPI is 1326349770. The provider is registered as an organization entity type.

The provider's business location address is:

1738 W NORTH AVE
CHICAGO, IL
ZIP 60622-147
Phone: (773) 276-5566
Fax: (773) 276-8780

The provider's authorized official is Susan Stuart Brown .
The authorized official title is Office Manager and has the following contact phone number (773) 276-5566.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 11/16/2010.

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	019016946	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

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.

« Previous NPI

Next NPI »