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General NPI Number Information
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NPI Number | 1831663293
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Entity Type | Organization
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Legal Business Name | DENTISTRY BY DGI, PC
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 6737 KINGERY HWY
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5142
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Country | US
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Telephone | 630-570-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 4950 N LEAVITT ST
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City | CHICAGO
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State | IL
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Zip | 60625-1309
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Country | US
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Telephone | 773-218-7653
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID GERARD INGALLINERA
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Credential | DDS
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Telephone | 773-218-7653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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