Carrasquillo, Alfredo

Carrasquillo, Alfredo is an individual health care provider with primary practice located at 4104 W Nelson St , Chicago IL 60641-5441. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Carrasquillo, Alfredo can be contacted via phone (773) 540-1740.

Contact Information

Primary practice address
4104 W Nelson St Chicago IL 60641-5441
Phone: (773) 540-1740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 020.014003 Illinois

Profile Details

NPI number 1013262401
LBN Legal business name Carrasquillo, Alfredo
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2012
Last updated Jul 21st, 2012 - about 12 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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