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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

PHILIP E FIDEL, DDS
3236 W FULLERTON AVE
CHICAGO, IL60647-2512
 Phone: 773-276-0300
 Fax: 773-252-5994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PHILIP E FIDEL · (Male)

NPI # 1003008459
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/09/2007
Last updated 08/09/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 01922169
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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