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Contact Information

BRITE DENTAL 59 PULASKI, P.C
5917 SOUTH PULASKI ROAD
CHICAGO, IL60629
 Phone: 773-776-5277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRITE DENTAL 59 PULASKI, P.C

NPI Number 1245584853
LBN Legal business name BRITE DENTAL 59 PULASKI, P.C
Authorized official FADI AQEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2012
Last updated 11/05/2012 - About 14 years ago
Identifiers
IL License # 019.026128
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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