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NPI Code Detail

MEDICARE: CASSANDRA NHI THAI

MEDICARE:   CASSANDRA NHI THAI
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
1122300000XDentist019.036168IL

General Provider Information

NPI Number : 1942198478
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA NHI THAI
Provider Business Mailing Address
First Line : 2829 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-6932
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2829 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-6932
Country : US
Telephone Number : 773-528-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 06/24/2025

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Directions to “ CASSANDRA NHI THAI ” Practice Location

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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.