MEDICARE: CRISTINA D FLORO DMD PC

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	019024922	IL

General Provider Information

NPI Number	:	1821163502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRISTINA D FLORO DMD PC

Provider Business Mailing Address
First Line	:	500 N MICHIGAN AVE
Second Line	:	SUITE 830
City	:	CHICAGO
State	:	IL
Zip	:	60611-3777
Country	:	US
Telephone Number	:	312-642-2299
Fax Number	:	312-642-7121

Provider Business Practice Location Address
First Line	:	500 N MICHIGAN AVE
Second Line	:	SUITE 830
City	:	CHICAGO
State	:	IL
Zip	:	60611-3777
Country	:	US
Telephone Number	:	312-642-2299
Fax Number	:	312-642-7121

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. CRISTINA DIMAANO FLORO
Credential	:	DMD
Telephone Number	:	312-642-2299

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	02/28/2013

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