Healthcare Provider Details

I. General information

NPI: 1710818620
Provider Name (Legal Business Name): FRANYELY AVENDANO ROMERO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N LAKE SHORE DR APT 2400
CHICAGO IL
60611-4586
US

IV. Provider business mailing address

500 N LAKE SHORE DR APT 2400
CHICAGO IL
60611-4586
US

V. Phone/Fax

Practice location:
  • Phone: 786-870-3053
  • Fax:
Mailing address:
  • Phone: 786-870-3053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.037112
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: