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Contact Information

WEBSTER DENTAL CARE OF LAKEVIEW, LTD
2829 N LINCOLN AVE
CHICAGO, IL60657-6932
 Phone: 773-528-8900
 Fax: 773-528-0831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for WEBSTER DENTAL CARE OF LAKEVIEW, LTD

NPI Number 1326258484
LBN Legal business name WEBSTER DENTAL CARE OF LAKEVIEW, LTD
Authorized official STEVEN REMPAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2007
Last updated 04/07/2016 - About 10 years ago
Identifiers
IL License # 019015631
IL License # 021001607
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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