1801956305 NPI number — DR. CARINA BARROS CHAVEZ D.D.S.

Table of content: DR. CARINA BARROS CHAVEZ D.D.S. (NPI 1801956305)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801956305 NPI number — DR. CARINA BARROS CHAVEZ D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAVEZ
Provider First Name:
CARINA
Provider Middle Name:
BARROS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801956305
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1272 MINER ST.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DES PLAINES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60016-3372
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-759-9599
Provider Business Mailing Address Fax Number:
847-759-9599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1272 MINER ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DES PLAINES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60016-3372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-759-9599
Provider Business Practice Location Address Fax Number:
847-759-9599
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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