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Contact Information

ADVANCED ENDODONTICS OF CHICAGO
111 N WABASH AVE STE 812
CHICAGO, IL60602-1912
 Phone: 312-291-9571
 Fax: 312-291-9573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS OF CHICAGO

NPI # 1245678473
LBN Legal business name ADVANCED ENDODONTICS OF CHICAGO
Authorized official MILTON DAVENPORT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2013
Last updated 07/10/2013 - About 13 years ago
Identifiers
IL License # 021002223
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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