Enrico Medina is a General Practice in Chicago, Illinois. Enrico Medina practices all healthcare services and medical treatments related to General Practice. The NPI Number for Enrico Medina is 1720184559. The last update date is 2007-07-08.
Enrico Medina's current location address is 10142 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7732333535 and fax number 7732385713. The mailing address for Enrico Medina is 10142 S Western Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Enrico Medina |
|---|---|
| Address | 10142 S Western Ave, Chicago, Illinois |
| Phone Number | 7732333535 |
| Fax Number | 7732385713 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720184559 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10142 S Western Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606431928 |
| Phone Number | 7732333535 |
| Fax Number | 7732385713 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Enrico Medina by the Centers for Medicare & Medicaid Services?
The Enrico Medina has been assigned the NPI (National Provider Identifier) 1720184559. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Enrico Medina is physically located?
The Enrico Medina is situated at the following address: 10142 S Western Ave, Chicago, IL 606431928.
What is Enrico Medina's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Enrico Medina is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did Enrico Medina receive its 1720184559 assignment from the Centers for Medicare & Medicaid Services?
The Enrico Medina was assigned its 1720184559 on 2006-09-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Enrico Medina, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Enrico Medina, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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