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General NPI Number Information
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NPI Number | 1699452029
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Entity Type | Organization
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Legal Business Name | ORTHODONTIC EXPERTS LTD
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1162 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 815-340-1046
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 E HIGGINS RD STE 320
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City | DES PLAINES
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State | IL
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Zip | 60018-3805
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Country | US
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Telephone | 815-340-1046
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Fax |
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Authorized Official
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Title or Position | VP OF MARKETING
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Name | IRENA RAKHMETZYANOV
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Credential |
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Telephone | 224-628-0322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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