Caicedo Moreno, Christian Xavier
Caicedo Moreno, Christian Xavier is an sole proprietor health care provider with primary practice located at 1873 Shermer Rd , Northbrook IL 60062-5300. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Caicedo Moreno, Christian Xavier can be contacted via phone (847) 498-5970.Contact Information
Primary practice address
1873 Shermer Rd
Northbrook IL 60062-5300
Phone: (847) 498-5970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019.032183 | Illinois |
Profile Details
| NPI number | 1306407812 |
|---|---|
| LBN Legal business name | Caicedo Moreno, Christian Xavier |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2019 |
| Last updated | Apr 29th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306407812 | NPPES |
| Illinois | Other | 019.032183 | DENTAL LICENSE |
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