Marilys Valcourt Ewa in Chicago - Dentist
Marilys Valcourt Ewa - NPI 1356546840
Marilys Valcourt Ewa is a Dentist in Chicago, Illinois. Marilys Valcourt Ewa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Marilys Valcourt Ewa is 1356546840. The last update date is 2007-07-08.
Marilys Valcourt Ewa's current location address is 2917 W 63rd St, Chicago, Illinois. You can contact this provider via phone number 7734768217 and fax number 7734768251. The mailing address for Marilys Valcourt Ewa is 2917 W 63rd St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilys Valcourt Ewa |
|---|---|
| Address | 2917 W 63rd St, Chicago, Illinois |
| Phone Number | 7734768217 |
| Fax Number | 7734768251 |
| Sole Proprietor | N |
| Credentials | DDS, MPH |
NPI Number Detail
| NPI Number | 1356546840 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2917 W 63rd St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606292729 |
| Phone Number | 7734768217 |
| Fax Number | 7734768251 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158077525126 | IL | HUMANA TDC | |
| 1075 | IL | COMPDENT | |
| 1001783 | IL | -- | |
| 13043 | IL | FIRST COMMONWEALTH | |
| 779 | IL | DENTAL NETWORK OF AMERICA |
Post Comment/ Review Below
What is the Marilys Valcourt Ewa's unique identification number?
The Marilys Valcourt Ewa has been assigned the NPI (National Provider Identifier) Number 1356546840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Marilys Valcourt Ewa's facilities are situated?
The facilities of Marilys Valcourt Ewa are physically located at the following address: 2917 W 63Rd St, Chicago, IL, 606292729.
What is the Marilys Valcourt Ewa's area of specialization and corresponding taxonomy classification?
The Marilys Valcourt Ewa's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1356546840 to Marilys Valcourt Ewa?
The Centers for Medicare & Medicaid Services assigned the 1356546840 to Marilys Valcourt Ewa on 2007-06-15.
As of what date was the information regarding Marilys Valcourt Ewa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marilys Valcourt Ewa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.