ADVOCATE DENTAL CENTER NPI 1588109151

NPI Information

NPI: 1588109151
Provider Name: ADVOCATE DENTAL CENTER

Former Legal Business Name: ADVOCATE MEDICAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 871-1461
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ADVOCATE DENTAL CENTER is a dental clinic center in Chicago, IL. ADVOCATE DENTAL CENTER NPI is 1588109151. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Advocate Medical Group.

The provider's business location address is:

811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657-123
Phone: (773) 871-1461
Fax: (773) 871-6353

The provider's authorized official is Judith Walker .
The authorized official title is Manager, Dental Programs and has the following contact phone number (773) 296-8189.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 1/5/2017.

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		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

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