MEDICARE: DEVON DENTAL CARE

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

General Provider Information

NPI Number	:	1558538686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVON DENTAL CARE

Provider Business Mailing Address
First Line	:	2820 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1502
Country	:	US
Telephone Number	:	773-764-3200
Fax Number	:	773-764-3225

Provider Business Practice Location Address
First Line	:	2820 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1502
Country	:	US
Telephone Number	:	773-764-3200
Fax Number	:	773-764-3225

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. MANOJ KUMAR
Credential	:
Telephone Number	:	773-764-3200

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

Similar Medicare Providers

1811979933 — DR. JACOB S LAKE DDS
Practice Location Address:

2806 W DEVON AVE
CHICAGO, IL
60659-1502

Practice Phone: 773-973-1100
Practice Fax: 773-973-1531

1497831143 — DR. SVETLANA KALISKER O.D.
Practice Location Address:

2822 W DEVON AVE
CHICAGO, IL
60659-1502

Practice Phone: 773-338-1290
Practice Fax: 847-918-1132

1083776983 — INNA GOLDBERG OD PC
Practice Location Address:

2822 W DEVON AVE
CHICAGO, IL
60659-1502

Practice Phone: 773-338-1290
Practice Fax: 773-338-0885

1194872457 — FUTURE DIAGNOSTICS, LTD.
Practice Location Address:

2804 W DEVON AVE
CHICAGO, IL
60659-1502

Practice Phone: 773-274-7870
Practice Fax: 773-274-7860

1134348584 — ERLA A. CALDERON DDS
Practice Location Address:

2806 W DEVON AVE
CHICAGO, IL
60659-1502

Practice Phone: 773-973-1100
Practice Fax: 773-973-1531

1124202031 — UNIVERSAL MEDICAL & REHABILITATION CENTER, S.C.
Practice Location Address:

2828 W DEVON AVE
CHICAGO, IL
60659-1502

Practice Phone: 773-761-9774
Practice Fax: 773-761-9878

Directions to “DEVON DENTAL CARE ” 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.