Healthcare Provider Details

I. General information

NPI: 1215854591
Provider Name (Legal Business Name): BEATRIZ FIGUEROA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4148 S ARCHER AVE
CHICAGO IL
60632-1825
US

IV. Provider business mailing address

1903 N KILDARE AVE
CHICAGO IL
60639-4807
US

V. Phone/Fax

Practice location:
  • Phone: 773-247-3345
  • Fax:
Mailing address:
  • Phone: 773-964-7510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number319.025361
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: