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NPI Code Detail

MEDICARE: DR. NAREE PAIK DDS

MEDICARE: DR. NAREE PAIK DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistIL

General Provider Information

NPI Number : 1255381299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAREE PAIK DDS
Provider Business Mailing Address
First Line : 2321 N BOSWORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-3043
Country : US
Telephone Number : 773-935-3977
Fax Number :
Provider Business Practice Location Address
First Line : 2859 S. PULASKI ROAD 2ND FLOOR
Second Line :
City : CHICAGO
State : IL
Zip : 60623-4456
Country : US
Telephone Number : 773-522-0855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 12/10/2007

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