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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1699452029
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	:	1162 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610
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	:	06/28/2023
Last Update Date	:	12/08/2025

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