Cassidy Veronica Phagan, DDS

Dentist · Grayslake, IL

Individual Active NPI

NPI number 1790338853

Practice location

719 Barron Blvd
Grayslake, IL 60030-3314
Phone
(847) 986-6724

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NPI record

NPI
1790338853
Entity type
Individual (Type 1)
Enumeration date
July 18, 2019
Last updated
July 18, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 00 IL

Mailing address

2527 N Springfield Ave Unit 1
Chicago, IL 60647-1028
Phone
(847) 721-7628

About Dr. Phagan

Cassidy Veronica Phagan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 719 Barron Blvd, Grayslake, IL 60030-3314. The NPI number 1790338853 was assigned on July 18, 2019 and the record was last updated on July 18, 2019.

Dr. Phagan lists a license in the registry: #00 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cassidy Veronica Phagan, DDS?

The NPI number is 1790338853.

What is the phone number of Dr. Phagan?

The phone number listed for the practice location is (847) 986-6724.

Where is Dr. Phagan located?

719 Barron Blvd, Grayslake, IL 60030-3314.

What is the taxonomy code for Dr. Phagan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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