Wicker Park Orthodontics

LBN: Wicker Park Orthodontia, Ltd.
Wicker Park Orthodontics is an health care organization with primary practice located at 1921 W. North Ave S , Chicago IL 60622. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Wicker Park Orthodontia, Ltd. can be contacted via phone (773) 276-5566, or through Alicea, Nidza via phone (773) 235-0980.

Contact Information

Primary practice address
1921 W. North Ave S Chicago IL 60622
Phone: (773) 276-5566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alicea, Nidza
Phone: (773) 235-0980

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 060010055 Illinois

Profile Details

NPI number 1609016351
LBN Legal business name Wicker Park Orthodontia, Ltd.
DBA Doing business as Wicker Park Orthodontics
Authorized official Alicea, Nidza
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2009
Last updated Feb 20th, 2009 - about 16 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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