Evanston Childrens Dental Clinic

LBN: City Of Evanston Health Department
Evanston Childrens Dental Clinic is an health care organization with primary practice located at 2100 Ridge Ave , Evanston IL 60201-2716. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. City Of Evanston Health Department can be contacted via phone (847) 866-2057, or through Thomas, Evonda via phone (847) 844-2957.

Contact Information

Primary practice address
2100 Ridge Ave Evanston IL 60201-2716
Phone: (847) 866-2057
Fax: (847) 448-8125
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Evonda RN MSN DHA(C)
Phone: (847) 844-2957

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 074390907 Illinois

Profile Details

NPI number 1790095065
LBN Legal business name City Of Evanston Health Department
DBA Doing business as Evanston Childrens Dental Clinic
Authorized official Thomas, Evonda RN MSN DHA(C)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2010
Last updated Oct 20th, 2010 - about 15 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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