Healthcare Provider Details

I. General information

NPI: 1699764845
Provider Name (Legal Business Name): ALINA L HUFF DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALINA L APEL DDS

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 06/05/2021
Certification Date: 06/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 W 2ND ST STE 7
HINSDALE IL
60521-4134
US

IV. Provider business mailing address

1776 APPLE VALLEY RD
BOLINGBROOK IL
60490-4567
US

V. Phone/Fax

Practice location:
  • Phone: 630-325-7700
  • Fax: 630-214-3381
Mailing address:
  • Phone: 630-788-9361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019026566
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019-026566
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: