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Contact Information

TODD HEARNS, DMD
811 W WELLINGTON AVE
CHICAGO, IL60657-5123
 Phone: 773-871-1461
 Fax: 773-871-6353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist Anesthesiologist

1223D0004X
Indicates primary specialty

NPI Profile & details for TODD HEARNS · (Male)

NPI # 1124723374
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/04/2023
Last updated 06/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019.034392
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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