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Contact Information

OLD ORCHARD ENDODONTICS
4905 OLD ORCHARD CTR STE 216
SKOKIE, IL60077-4741
 Phone: 219-741-3937
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for OLD ORCHARD ENDODONTICS

NPI Number 1770126740
LBN Legal business name OLD ORCHARD ENDODONTICS
Authorized official JILL YOUNG - (OWNER/ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2019
Last updated 10/23/2019 - About 7 years ago
Identifiers n/a
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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