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NPI Code Detail

MEDICARE: FAMILY DENTAL CARE

MEDICARE: FAMILY DENTAL CARE
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 : 1578772299
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY DENTAL CARE
Provider Business Mailing Address
First Line : 3009 E 92ND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-4502
Country : US
Telephone Number : 773-978-1231
Fax Number :
Provider Business Practice Location Address
First Line : 3009 E 92ND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-4502
Country : US
Telephone Number : 773-978-1231
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ALEX G ALEMIS
Credential : DDS
Telephone Number : 773-978-1231
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1548483746 — DR. ALEX G ALEMIS DDS
Practice Location Address:
3009 E 92ND ST
CHICAGO, IL
60617-4502
Practice Phone: 773-978-1231
Practice Fax:
1528277415 — DR. CHRIS P ALEMIS
Practice Location Address:
3009 E 92ND ST
CHICAGO, IL
60617-4502
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Practice Fax:
1649489451 — MARCELLE R GHARIBEH DDS
Practice Location Address:
3009 E 92ND ST
CHICAGO, IL
60617-4502
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Practice Fax:
1518176221 — CHERYL KELLER RDH
Practice Location Address:
3009 E 92ND ST
CHICAGO, IL
60617-4502
Practice Phone: 773-978-1231
Practice Fax:
1376850891 — DR. DIMITRI VASDEKIS DDS
Practice Location Address:
3009 E 92ND ST
CHICAGO, IL
60617-4502
Practice Phone: 773-978-1231
Practice Fax: 773-978-5136
1053653139 — KEVIN M. KNUST D.D.S.
Practice Location Address:
3009 E 92ND ST
CHICAGO, IL
60617-4502
Practice Phone: 773-978-1231
Practice Fax:

Directions to “FAMILY DENTAL CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.