Alex, Shaun

Alex, Shaun is an sole proprietor health care provider with primary practice located at 3020 W Montrose Ave , Chicago IL 60618-1312. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alex, Shaun can be contacted via phone (773) 463-4800.

Contact Information

Primary practice address
3020 W Montrose Ave Chicago IL 60618-1312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.028030 Illinois

Profile Details

NPI number 1174751036
LBN Legal business name Alex, Shaun
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2009
Last updated Jun 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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