Graves, Carmen Villasante
Graves, Carmen Villasante is an individual health care provider with primary practice located at 850 S Wabash Ave Ste 240 , Chicago IL 60605-3643. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Graves, Carmen Villasante can be contacted via phone (312) 356-4700.Contact Information
Primary practice address
850 S Wabash Ave Ste 240
Chicago IL 60605-3643
Phone: (312) 356-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 019.031010 | Illinois |
| Dental Providers / Periodontics | 1223P0300X | 32052 | Texas |
| Dental Providers / Periodontics | 1223P0300X | 22154 | Zz |
| Dental Providers / Periodontics | 1223P0300X | 021.002792 | Illinois |
Profile Details
| NPI number | 1437597598 |
|---|---|
| LBN Legal business name | Graves, Carmen Villasante |
| Credentials | D.D.S, M.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2013 |
| Last updated | Jun 6th, 2022 - about 2 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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