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NPI Code Detail

MEDICARE: ORTHODONTIC EXPERTS LTD

MEDICARE: ORTHODONTIC EXPERTS 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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1619751740
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHODONTIC EXPERTS LTD
Provider Business Mailing Address
First Line : 1700 E HIGGINS RD STE 320
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-3805
Country : US
Telephone Number : 815-340-1046
Fax Number :
Provider Business Practice Location Address
First Line : 810 W MONROE ST STE 108
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2761
Country : US
Telephone Number : 815-340-1046
Fax Number :
Authorized Official
Title or Position : VP OF MARKETING
Name : IRENA RAKHMETZYANOV
Credential :
Telephone Number : 224-628-0322
Provider Enumeration Date : 08/21/2023
Last Update Date : 12/08/2025

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Directions to “ORTHODONTIC EXPERTS LTD ” Practice Location

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