MEDICARE: MICHAEL D VOEGELI 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
1	1223G0001X	General Practice Dentistry	019021600	IL

General Provider Information

NPI Number	:	1518026798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL D VOEGELI DDS

Provider Business Mailing Address
First Line	:	7601 W IRVING PARK RD
Second Line	:	SUITE 101
City	:	CHICAGO
State	:	IL
Zip	:	60634-2140
Country	:	US
Telephone Number	:	773-589-9003
Fax Number	:	773-589-9667

Provider Business Practice Location Address
First Line	:	7601 W IRVING PARK RD
Second Line	:	SUITE 101
City	:	CHICAGO
State	:	IL
Zip	:	60634-2140
Country	:	US
Telephone Number	:	773-589-9003
Fax Number	:	773-589-9667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	01/22/2015

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