Lee J. Crisanti in Chicago - Dentist

Lee J. Crisanti - NPI 1689845067

Lee J. Crisanti is a Dentist in Chicago, Illinois. Lee J. Crisanti practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lee J. Crisanti is 1689845067. The last update date is 2008-03-13.

Lee J. Crisanti's current location address is 2959 S Wallace St, Chicago, Illinois. You can contact this provider via phone number 3127910920 and fax number 3128425338. The mailing address for Lee J. Crisanti is 2959 S Wallace St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lee J. Crisanti
Address 2959 S Wallace St, Chicago, Illinois
Phone Number 3127910920
Fax Number 3128425338
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1689845067
Provider Enumeration Date 2008-03-13
Last Updated Date 2008-03-13

Provider Mailing Address Detail

Address 2959 S Wallace St
City Chicago
State Illinois (IL)
Post Code 606163034
Phone Number 3127910920
Fax Number 3128425338

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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 Lee J. Crisanti

What is the unique identifier code issued to Lee J. Crisanti by the Centers for Medicare & Medicaid Services (CMS)?

The Lee J. Crisanti has been assigned the NPI (National Provider Identifier) 1689845067. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Lee J. Crisanti's facilities are geographically located?

The facilities of Lee J. Crisanti are physically situated at the following location: 2959 S Wallace St, Chicago, IL, 606163034.

What is the Lee J. Crisanti's specialty and taxonomy code?

The Lee J. Crisanti's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689845067 to Lee J. Crisanti?

The Centers for Medicare & Medicaid Services assigned the 1689845067 to Lee J. Crisanti on 2008-03-13.

When was the information pertaining to Lee J. Crisanti most recently updated or revised?

The details related to Lee J. Crisanti, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-13.

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