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Contact Information

WEST SUBURBAN ENDODONTICS LLC
1749 S NAPERVILLE ROAD
SUITE 100
WHEATON, IL60189
 Phone: 630-653-3636
 Fax: 630-653-3663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for WEST SUBURBAN ENDODONTICS LLC

NPI Number 1821491937
LBN Legal business name WEST SUBURBAN ENDODONTICS LLC
Authorized official BRIAN WARDELL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2014
Last updated 10/30/2020 - About 6 years ago
Identifiers
IL License # 021002266
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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