Active NPIOrganization

1ST Family Dental Of La Grange Park, PC

Dentist in La Grange Park, Illinois

NPI Number1154749240
Practice location
1103 E 31ST St, La Grange Park, IL 60526-1280
Fax
—
Last updated
April 4, 2014

1ST Family Dental Of La Grange Park, PC is a healthcare organization based in La Grange Park, IL. 1ST Family Dental Of La Grange Park, PC practices in La Grange Park, IL. The NPI Number for 1ST Family Dental Of La Grange Park, PC is 1154749240. The current practice location address for 1ST Family Dental Of La Grange Park, PC is 1103 E 31ST St, La Grange Park, IL 60526-1280 and can be reached out via phone at 708-579-5824.

Provider Profile Details

NPI Number
1154749240
Provider Name
1ST Family Dental Of La Grange Park, PC
Provider Entity Type
Organization
Address
1103 E 31ST St, La Grange Park, IL 60526-1280
Phone Number
708-579-5824
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mrs. Vesna Belkic · Chief Operating Officer · 773-340-8318
Provider Enumeration Date
April 4, 2014
Last Update Date
April 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1103 E 31ST St
La Grange Park, IL 60526-1280
Zip
60526-1280
Phone Number
708-579-5824
La Grange Park, IL 60526Get directions →

Provider Business Mailing Address Details

Address
4901 N Kedzie Ave
Chicago, IL 60625-5009
City
Chicago
State
IL
Zip
60625-5009
Phone Number
773-340-8318

License Information

Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 1ST Family Dental Of La Grange Park, PC?

The NPI number of 1ST Family Dental Of La Grange Park, PC is 1154749240. It was assigned on April 4, 2014 and is currently active in the NPPES registry.

What is the specialty of 1ST Family Dental Of La Grange Park, PC?

1ST Family Dental Of La Grange Park, PC is registered under the primary taxonomy Dentist (code 122300000X).

Where does 1ST Family Dental Of La Grange Park, PC practice?

The practice location is 1103 E 31ST St, La Grange Park, IL 60526-1280. The office can be reached at 708-579-5824 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154749240 directly on the NPPES registry website.

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