MEDICARE: GARFIELD C BATCHELOR 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	019025104	IL
2	1223G0001X	General Practice Dentistry	12285	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019025104	OTHER	IL	STATE LICENSE
2	12285	OTHER	TN	STATE LICENSE

General Provider Information

NPI Number	:	1871616532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARFIELD C BATCHELOR DDS

Provider Business Mailing Address
First Line	:	3500 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-3300
Country	:	US
Telephone Number	:	773-238-1717
Fax Number	:	773-779-1656

Provider Business Practice Location Address
First Line	:	3500 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-3300
Country	:	US
Telephone Number	:	773-238-1717
Fax Number	:	773-779-1656

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	04/09/2026

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Directions to “ GARFIELD C BATCHELOR DDS” Practice Location

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