MEDICARE: MR. LUIS CASALS DDS

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		IL

General Provider Information

NPI Number	:	1689608762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LUIS CASALS DDS

Provider Business Mailing Address
First Line	:	1948 WEST NORTH AVENUE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1318
Country	:	US
Telephone Number	:	773-342-2969
Fax Number	:

Provider Business Practice Location Address
First Line	:	1948 W NORTH AVENUE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1318
Country	:	US
Telephone Number	:	773-342-2969
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	02/08/2026

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