Chanthasalo, Siri

Chanthasalo, Siri is an individual health care provider with primary practice located at 3091 W. Route 20 #103, Elgin IL 60124. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Chanthasalo, Siri can be contacted via phone (847) 841-1555.

Contact Information

Primary practice address
3091 W. Route 20 #103 Elgin IL 60124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-025831 Illinois

Profile Details

NPI number 1134286057
LBN Legal business name Chanthasalo, Siri
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Oct 9th, 2008 - 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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