Healthcare Provider Details

I. General information

NPI: 1801057138
Provider Name (Legal Business Name): KARING HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E IRVING PARK RD
WOOD DALE IL
60191-1639
US

IV. Provider business mailing address

405 E IRVING PARK RD
WOOD DALE IL
60191-1639
US

V. Phone/Fax

Practice location:
  • Phone: 630-766-5429
  • Fax:
Mailing address:
  • Phone: 630-766-5429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: KALPESH SHAH
Title or Position: OWNER
Credential:
Phone: 630-766-5429