Preeti A. Shivakumar, D.D.S.

Dentist · Cicero, IL

Individual Active NPI

NPI number 1912139338

Practice location

2240 S Cicero Ave
Cicero, IL 60804-2411
Phone
(708) 656-2222

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NPI record

NPI
1912139338
Entity type
Individual (Type 1)
Enumeration date
August 18, 2009
Last updated
August 18, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019028058 IL

Mailing address

430 W Erie St
Suite 200
Chicago, IL 60654-6914
Phone
(312) 274-0308
Fax
(312) 944-9499

About Dr. Shivakumar

Preeti A. Shivakumar, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2240 S Cicero Ave, Cicero, IL 60804-2411. The NPI number 1912139338 was assigned on August 18, 2009 and the record was last updated on August 18, 2009.

Dr. Shivakumar lists a license in the registry: #019028058 (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 Preeti A. Shivakumar, D.D.S.?

The NPI number is 1912139338.

What is the phone number of Dr. Shivakumar?

The phone number listed for the practice location is (708) 656-2222.

Where is Dr. Shivakumar located?

2240 S Cicero Ave, Cicero, IL 60804-2411.

What is the taxonomy code for Dr. Shivakumar?

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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