Periodontics Ltd.
LBN: Periodontics Ltd.
Periodontics Ltd. is an health care organization with primary practice located at 111 N Wabash Ave Ste 919 , Chicago IL 60602-1932. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty.
Periodontics Ltd. can be contacted via phone (312) 641-2572, or through Russo, Stephen P via phone (312) 641-2572.
Contact Information
Primary practice address
111 N Wabash Ave Ste 919
Chicago IL 60602-1932
Phone: (312) 641-2572
Fax: (312) 641-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | Illinois |
Profile Details
| NPI number | 1336219856 |
|---|---|
| LBN Legal business name | Periodontics Ltd. |
| DBA Doing business as | |
| Authorized official | Russo, Stephen P DMD MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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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