MEDICARE: EMILY TANEVA DDS MS PC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720446842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMILY TANEVA DDS MS PC

Provider Business Mailing Address
First Line	:	73 E LAKE ST APT 3508
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-4800
Country	:	US
Telephone Number	:	312-504-7972
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 E LAKE ST APT 3508
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-4800
Country	:	US
Telephone Number	:	312-504-7972
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMILIYA TANEVA
Credential	:
Telephone Number	:	312-504-7972

Provider Enumeration Date	:	02/03/2016
Last Update Date	:	02/03/2016

Similar Medicare Providers

1205256906 — EMILIYA TANEVA
Practice Location Address:

73 E LAKE ST APT 3508
CHICAGO, IL
60601-4800

Practice Phone: 312-504-7972
Practice Fax:

1164497731 — DALE ANTHONY CHARLETTA MD
Practice Location Address:

4800 S GREENWOOD AVE
CHICAGO, IL
60615-1914

Practice Phone: 312-315-8046
Practice Fax: 312-284-4800

1568490381 — LOUIS ROHR M.D.
Practice Location Address:

4800 W CHICAGO AVE
CHICAGO, IL
60651-3223

Practice Phone: 773-826-9600
Practice Fax:

1730294588 — WSKC DIALYSIS SERVICES, INC.
Practice Location Address:

4800 W CHICAGO AVE STE 2A
CHICAGO, IL
60651-3226

Practice Phone: 773-287-0680
Practice Fax: 773-287-0681

1174638936 — NATIONAL MEDICAL CARE, INC.
Practice Location Address:

4800 N KILPATRICK AVE
CHICAGO, IL
60630-1725

Practice Phone: 773-545-3693
Practice Fax:

1063524676 — NIMMI RAJAGOPAL
Practice Location Address:

4800 W CHICAGO AVE
CHICAGO, IL
60651-3226

Practice Phone: 773-826-9600
Practice Fax:

Directions to “EMILY TANEVA DDS MS PC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.