105 W Madison Dental Pc

LBN: 105 W Madison Dental Pc
105 W Madison Dental Pc is an health care organization with primary practice located at 105 W Madison St Ste 300 , Chicago IL 60602-4602. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 105 W Madison Dental Pc can be contacted via phone (561) 899-4595, or through Skidmore, Timothy via phone (630) 816-9064.

Contact Information

Primary practice address
105 W Madison St Ste 300 Chicago IL 60602-4602
Phone: (561) 899-4595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Timothy Doctor of Dental Surgery (DDS)
Phone: (630) 816-9064

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1730674227
LBN Legal business name 105 W Madison Dental Pc
DBA Doing business as
Authorized official Skidmore, Timothy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2018
Last updated Jun 27th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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