MEDICARE: FRANCISCO R CAVERO DDS & ASSOCIATES LTD

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	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1134397839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCO R CAVERO DDS & ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	3521 N ELSTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5617
Country	:	US
Telephone Number	:	773-539-6994
Fax Number	:

Provider Business Practice Location Address
First Line	:	3521 N ELSTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5617
Country	:	US
Telephone Number	:	773-539-6994
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANCISCO R CAVERO
Credential	:	D.D.S.
Telephone Number	:	773-539-6994

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	02/14/2008

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