Sonrisa Dental Little Village 26th
Sonrisa Dental Little Village 26th · Clinic/Center (Dental)

Address: 3059 S 26th St, Chicago, IL 60623
Phone: 7732477600

Sonrisa Dental Little Village 26th (NPI# 1982019204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1982019204
Entity Type Organization
Organization Name SONRISA DENTAL LITTLE VILLAGE 26TH
Other Organization Name SONRISA DENTAL LITTLE VILLAGE 26TH
Practice Address 3059 S 26th St
Chicago
IL 60623
Practice Telephone 7732477600
Mailing Address 3059 South 26th Street
Chicago
IL 60623
Mailing Telephone 7732477600
Authorized Official Name Mary Lukaszczyk (CHIEF OPERATING OFFICER)
Authorized Official Telephone 6307303233
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name SONRISA DENTAL PC
Enumeration Date 2014-06-25
Last Update Date 2014-06-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QD0000X Clinic/Center · Dental Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sonrisa Dental Little Village 26th Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Office Location

Street Address 3059 S 26TH ST
City CHICAGO
State IL
Zip Code 60623

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1679024376 Athletico Ltd. Physical Therapist 2632 W. Pershing Rd., Chicago, IL 60623 2016-10-18
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1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1477851319 Elizabeth Bauer Physician Assistant 3256 W 24th St, Chicago, IL 60623 2011-03-01
1023328390 Rebecca Franco Advanced Practice Midwife 2875 W. 19th St, Chicago, IL 60623 2010-10-20
1447580899 Candace Nicole Hutchen Pharmacist 3434 West 13th Place, Chicago, IL 60623 2010-01-07
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Competitor

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City CHICAGO
Zip Code 60623

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.