- Practice location
- 25 E Washington St, Suite 1115, Chicago, IL 60602-1708
- Phone
- 630-339-3172
- Fax
- —
- Last updated
- August 24, 2016
25 East Dental LLC is a healthcare organization based in Chicago, IL. 25 East Dental LLC practices in Chicago, IL. The NPI Number for 25 East Dental LLC is 1225583776 and holds a License No. 019018378 (IL). The current practice location address for 25 East Dental LLC is 25 E Washington St, Suite 1115, Chicago, IL 60602-1708 and can be reached out via phone at 630-339-3172.
Provider Profile Details
- NPI Number
- 1225583776
- Provider Name
- 25 East Dental LLC
- Provider Entity Type
- Organization
- Address
- 25 E Washington St, Suite 1115, Chicago, IL 60602-1708
- Phone Number
- 630-339-3172
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Alan J Acierno, DDS · Manager · 630-339-3172
- Provider Enumeration Date
- August 24, 2016
- Last Update Date
- August 24, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 E Washington St
Suite 1115
Chicago, IL 60602-1708 - City
- Chicago
- State
- Illinois
- Zip
- 60602-1708
- Phone Number
- 630-339-3172
Provider Business Mailing Address Details
- Address
- 129 S Roselle RD
Suite 102
Schaumburg, IL 60193-5540 - City
- Schaumburg
- State
- IL
- Zip
- 60193-5540
- Phone Number
- 630-339-3172
License Information
- License Number
- 019018378
- License State
- IL
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 25 East Dental LLC?
The NPI number of 25 East Dental LLC is 1225583776. It was assigned on August 24, 2016 and is currently active in the NPPES registry.
What is the specialty of 25 East Dental LLC?
25 East Dental LLC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in IL under license number 019018378.
Where does 25 East Dental LLC practice?
The practice location is 25 E Washington St, Suite 1115, Chicago, IL 60602-1708. The office can be reached at 630-339-3172 (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 1225583776 directly on the NPPES registry website.