MEDICARE: SEMALIE HILA

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	019034298	IL

General Provider Information

NPI Number	:	1134805260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEMALIE HILA

Provider Business Mailing Address
First Line	:	5349 W WINONA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2240
Country	:	US
Telephone Number	:	312-966-0472
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 S VAIL AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1879
Country	:	US
Telephone Number	:	312-966-0472
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	06/23/2023

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Directions to “ SEMALIE HILA ” Practice Location

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