DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRICKYARD ORTHODONTICS

MEDICARE: BRICKYARD ORTHODONTICS
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 DentistryIL

General Provider Information

NPI Number : 1821261397
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRICKYARD ORTHODONTICS
Provider Business Mailing Address
First Line : 6018 W DIVERSEY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-1108
Country : US
Telephone Number : 773-836-7846
Fax Number : 773-622-6191
Provider Business Practice Location Address
First Line : 6018 W DIVERSEY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-1108
Country : US
Telephone Number : 773-836-7846
Fax Number : 773-622-6191
Authorized Official
Title or Position : PRESIDENT
Name : DR. ERNEST PANOS
Credential : D.D.S
Telephone Number : 773-836-7846
Provider Enumeration Date : 04/07/2008
Last Update Date : 04/07/2008

Similar Medicare Providers

1669590063 — TAHIR NIAZI, MD SC
Practice Location Address:
6020 W DIVERSEY AVE
CHICAGO, IL
60639-1108
Practice Phone: 773-237-5544
Practice Fax: 773-889-0883
1033381090 — BRICKYARD DENTAL CENTER
Practice Location Address:
6020 W DIVERSEY AVE
CHICAGO, IL
60639-1108
Practice Phone: 773-237-0707
Practice Fax: 773-622-6191
1700051810 — DR. CHRISTOS A TSALIAGOS D.D.S.
Practice Location Address:
6020 W DIVERSEY AVE
CHICAGO, IL
60639-1108
Practice Phone: 773-237-0707
Practice Fax: 773-622-6191
1861650152 — DR. LOUIS A WHITESMAN DDS MS
Practice Location Address:
6020 W DIVERSEY AVE
CHICAGO, IL
60639-1108
Practice Phone: 773-237-0707
Practice Fax:
1710215611 — NORTH SUBURBAN ORTHODONTICS, LTD
Practice Location Address:
6020 W DIVERSEY AVE
CHICAGO, IL
60639-1108
Practice Phone: 773-237-0707
Practice Fax:
1003116617 — DR. DALE BENJAMIN DMD
Practice Location Address:
6020 W DIVERSEY AVE
CHICAGO, IL
60639-1108
Practice Phone: 773-237-0707
Practice Fax:

Directions to “BRICKYARD ORTHODONTICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.