MEDICARE: DR. ALINA M CATANA MACOVEI 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	122300000X	Dentist	019029469	IL

General Provider Information

NPI Number	:	1790125870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALINA M CATANA MACOVEI DDS

Provider Business Mailing Address
First Line	:	1276 N CLYBOURN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-2089
Country	:	US
Telephone Number	:	312-337-1073
Fax Number	:

Provider Business Practice Location Address
First Line	:	3935 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3761
Country	:	US
Telephone Number	:	773-588-1141
Fax Number	:

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

Provider Enumeration Date	:	07/03/2013
Last Update Date	:	12/15/2021

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