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NEAR NORTH HEALTH NPI 1821630054


NPI Information

NPI: 1821630054
Provider Name: NEAR NORTH HEALTH
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
4259 S BERKELEY AVE
CHICAGO, IL
ZIP 60653
Phone: (773) 629-5488
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NEAR NORTH HEALTH is a dental hygienist in Chicago, IL. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. NEAR NORTH HEALTH NPI is 1821630054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4259 S BERKELEY AVE
CHICAGO, IL
ZIP 60653-030
Phone: (773) 629-5488

The provider's authorized official is Destenii Thomas Anderson .
The authorized official title is Dental Hygienist and has the following contact phone number (773) 629-5488.

The enumeration date for this NPI number is 10/9/2019 and was last updated on 10/9/2019.


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
1124Q00000XDental HygienistYes

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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