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
Phone: (773) 463-4800
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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