MEDICARE: CELEBRITYSMILES

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	:	1235300849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELEBRITYSMILES

Provider Business Mailing Address
First Line	:	3208 N SOUTHPORT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3204
Country	:	US
Telephone Number	:	773-883-1557
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 N SOUTHPORT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3204
Country	:	US
Telephone Number	:	773-883-1557
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	JET CHIRANAND
Credential	:	D.D.S.
Telephone Number	:	773-883-1557

Provider Enumeration Date	:	03/23/2008
Last Update Date	:	03/23/2008

Similar Medicare Providers

1972540490 — DR. STEPHANIE ANN MAJ D.C.
Practice Location Address:

3210 N SOUTHPORT AVE
CHICAGO, IL
60657-3204

Practice Phone: 773-528-8485
Practice Fax:

1538696927 — HIGHLAND PARK CVS LLC
Practice Location Address:

3204 N CLARK ST
CHICAGO, IL
60657-1602

Practice Phone: 401-765-1500
Practice Fax:

1619555166 — DR. NATHANIEL MATTHEW SCHAPIRO PSY.D.
Practice Location Address:

3450 N LAKE SHORE DR APT 3204
CHICAGO, IL
60657-2863

Practice Phone: 954-298-4321
Practice Fax:

1376271908 — LEANING INTO LIVING COUNSELING
Practice Location Address:

3450 N LAKE SHORE DR APT 3204
CHICAGO, IL
60657-2863

Practice Phone: 954-298-4321
Practice Fax: 708-575-5752

1548263130 — JAN WIACEK MD
Practice Location Address:

3204 N OAK PARK AVE
CHICAGO, IL
60634-4640

Practice Phone: 773-736-3131
Practice Fax:

1255320651 — DR. ZOYA S SIPEN D.D.S
Practice Location Address:

3204 N PULASKI RD
CHICAGO, IL
60641-4728

Practice Phone: 773-202-0377
Practice Fax:

Directions to “CELEBRITYSMILES ” 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.