MEDICARE: SMILE AVENUE DENTAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019027115	IL

General Provider Information

NPI Number	:	1114190675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILE AVENUE DENTAL PC

Provider Business Mailing Address
First Line	:	2620 N NARRAGANSETT AVE # B13
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1081
Country	:	US
Telephone Number	:	312-520-5545
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 N NARRAGANSETT AVE # B13
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1081
Country	:	US
Telephone Number	:	312-520-5545
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KYUI HYUN KIM
Credential	:	DDS
Telephone Number	:	312-520-5545

Provider Enumeration Date	:	04/04/2008
Last Update Date	:	08/30/2008

Similar Medicare Providers

1275659229 — DR. FRANCIS KIM DDS
Practice Location Address:

2620 N NARRAGANSETT AVE , SUITE B13
CHICAGO, IL
60639-1081

Practice Phone: 773-237-5265
Practice Fax: 773-237-5385

1407249485 — ACCELERATED REHABILITATION CENTERS, LTD
Practice Location Address:

2620 N NARRAGANSETT AVE , STE B7
CHICAGO, IL
60639-1081

Practice Phone: 773-237-7274
Practice Fax: 773-237-7302

1932569852 — JERICO MONTANO PT
Practice Location Address:

2620 N NARRAGANSETT AVE , SUITE B7
CHICAGO, IL
60639-1081

Practice Phone: 773-237-7274
Practice Fax: 773-237-7302

1467029074 — NICOLE M AMATO DPT
Practice Location Address:

2620 N NARRAGANSETT AVE
CHICAGO, IL
60639-1081

Practice Phone: 773-237-7274
Practice Fax: 773-237-7302

1841404886 — CAROL B MILLER P.T.
Practice Location Address:

5841 S MARYLAND AVE , MC 1081
CHICAGO, IL
60637-1447

Practice Phone: 773-702-6286
Practice Fax: 773-702-5340

1225666712 — MEGAN MCDONALD STULBERG PT, DPT, CCS
Practice Location Address:

5841 S MARYLAND AVE , MC 1081, W-107
CHICAGO, IL
60637

Practice Phone: 773-702-6891
Practice Fax:

Directions to “SMILE AVENUE DENTAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.