- Practice location
- 2551 N Milwaukee Ave, Chicago, IL 60647-2629
- Phone
- 773-728-5333
- Fax
- 773-739-4300
- Last updated
- July 12, 2023
1ST Family Dental Of Logan Square is a healthcare organization based in Chicago, IL. 1ST Family Dental Of Logan Square practices in Chicago, IL. The NPI Number for 1ST Family Dental Of Logan Square is 1629252762 and holds a License No. 019023616 (IL). The current practice location address for 1ST Family Dental Of Logan Square is 2551 N Milwaukee Ave, Chicago, IL 60647-2629 and can be reached out via phone at 773-728-5333 and via fax at 773-739-4300.
Provider Profile Details
- NPI Number
- 1629252762
- Provider Name
- 1ST Family Dental Of Logan Square
- Provider Entity Type
- Organization
- Address
- 2551 N Milwaukee Ave, Chicago, IL 60647-2629
- Phone Number
- 773-728-5333
- Fax Number
- 773-739-4300
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Vesna Belkic · General Manager · 630-433-4962
- Provider Enumeration Date
- December 26, 2007
- Last Update Date
- July 12, 2023
- Certification Date
- July 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2551 N Milwaukee Ave
Chicago, IL 60647-2629 - City
- Chicago
- State
- Illinois
- Zip
- 60647-2629
- Phone Number
- 773-728-5333
- Fax Number
- 773-739-4300
Provider Business Mailing Address Details
- Address
- 2511 N Milwaukee Ave
Chicago, IL 60647-3883 - City
- Chicago
- State
- IL
- Zip
- 60647-3883
- Phone Number
- 773-772-5555
- Fax Number
- 773-772-5657
License Information
- License Number
- 019023616
- License State
- IL
- Taxonomy
- Dentist · 122300000X · 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 1ST Family Dental Of Logan Square?
The NPI number of 1ST Family Dental Of Logan Square is 1629252762. It was assigned on December 26, 2007 and is currently active in the NPPES registry.
What is the specialty of 1ST Family Dental Of Logan Square?
1ST Family Dental Of Logan Square is registered under the primary taxonomy Dentist (code 122300000X), licensed in IL under license number 019023616.
Where does 1ST Family Dental Of Logan Square practice?
The practice location is 2551 N Milwaukee Ave, Chicago, IL 60647-2629. The office can be reached at 773-728-5333 (phone) or 773-739-4300 (fax).
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 1629252762 directly on the NPPES registry website.