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NPI Code Detail

MEDICARE: RICHARD CHI DDS, LTD.

MEDICARE: RICHARD CHI DDS, 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
11223G0001XGeneral Practice Dentistry019.027335IL

General Provider Information

NPI Number : 1881909927
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD CHI DDS, LTD.
Provider Business Mailing Address
First Line : 1335 S PRAIRIE AVE UNIT 1708
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1727 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-5009
Country : US
Telephone Number : 773-517-2647
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD CHI
Credential : DDS
Telephone Number : 773-517-2647
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/12/2010

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Directions to “RICHARD CHI DDS, LTD. ” Practice Location

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