Christa Marie Souris in Chicago - Dentist

Christa Marie Souris - NPI 1437175833

Christa Marie Souris is a Dentist in Chicago, Illinois. Christa Marie Souris practices all healthcare services and medical treatments related to Dentist. The NPI Number for Christa Marie Souris is 1437175833. The last update date is 2007-07-08.

Christa Marie Souris's current location address is 5050 S Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 7739557889 and fax number 7739557889. The mailing address for Christa Marie Souris is 5050 S Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Christa Marie Souris
Address 5050 S Lake Shore Dr, Chicago, Illinois
Phone Number 7739557889
Fax Number 7739557889
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1437175833
Provider Enumeration Date 2006-07-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5050 S Lake Shore Dr
City Chicago
State Illinois (IL)
Post Code 606153282
Phone Number 7739557889
Fax Number 7739557889

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5977015
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Christa Marie Souris

What is the Christa Marie Souris's 1437175833?

The Christa Marie Souris's NPI (National Provider Identifier) Number is 1437175833. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Christa Marie Souris's facilities are geographically located?

The facilities of Christa Marie Souris are physically situated at the following location: 5050 S Lake Shore Dr, Chicago, IL, 606153282.

What is Christa Marie Souris's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Christa Marie Souris's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When did Christa Marie Souris receive its 1437175833 assignment?

The Christa Marie Souris was assigned its 1437175833 on 2006-07-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Christa Marie Souris, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Christa Marie Souris, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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