MEDICARE: DR. CYNTHIA ADELFA CARDENDS 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	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1841399821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA ADELFA CARDENDS DDS

Provider Business Mailing Address
First Line	:	2708 CHAMPION RD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564
Country	:	US
Telephone Number	:	630-305-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	6508 W ARCHER AVE
Second Line	:	SUITE #5
City	:	CHICAGO
State	:	IL
Zip	:	60638
Country	:	US
Telephone Number	:	773-586-5522
Fax Number	:

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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