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Contact Information

DENTAL GROUP OF CHICAGO
1556 S MICHIGAN AVE
#200
CHICAGO, IL60605
 Phone: 872-328-4304
 Fax: 312-588-0287
 Website: https://dentalgroupofchicago.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for DENTAL GROUP OF CHICAGO

NPI # 1093063893
LBN Legal business name DENTAL GROUP OF CHICAGO
Authorized official ROBERT UHLAND - (OWNER/ORTHODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2012
Last updated 08/27/2012 - About 14 years ago
Identifiers
IL License # 019.019480
IL License # 021.001397
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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