Brickyard Orthodontics

LBN: Brickyard Orthodontics
Brickyard Orthodontics is an health care organization with primary practice located at 6018 W Diversey Ave , Chicago IL 60639-1108. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Brickyard Orthodontics can be contacted via phone (773) 836-7846, or through Panos, Ernest via phone (773) 836-7846.

Contact Information

Primary practice address
6018 W Diversey Ave Chicago IL 60639-1108
Phone: (773) 836-7846
Fax: (773) 622-6191
Website:
Map and Directions
Authorized official contact:
Name: Panos, Ernest Doctor of Dental Surgery (DDS)
Phone: (773) 836-7846

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1821261397
LBN Legal business name Brickyard Orthodontics
DBA Doing business as
Authorized official Panos, Ernest Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2008
Last updated Apr 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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