Healthcare Provider Details

I. General information

NPI: 1669782736
Provider Name (Legal Business Name): MARIA SINIS DMD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2010
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6428 N CALIFORNIA AVE
CHICAGO IL
60645-5209
US

IV. Provider business mailing address

833 CHATHAM RD
GLENVIEW IL
60025-4405
US

V. Phone/Fax

Practice location:
  • Phone: 773-973-0531
  • Fax: 773-262-9850
Mailing address:
  • Phone: 954-663-6804
  • Fax: 773-293-6910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA SINIS CONTOS
Title or Position: PRESIDENT
Credential: D.M.D.
Phone: 954-663-6804