Irving Park Periodontics, LTD.

Periodontics · Chicago, IL

Organization Active NPI

NPI number 1982976643

Practice location

4949 W Irving Park Rd
Ste. D
Chicago, IL 60641-2655
Phone
(773) 794-1332
Fax
(773) 794-1032

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NPI record

NPI
1982976643
Entity type
Organization (Type 2)
Enumeration date
January 27, 2012
Last updated
January 27, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 021001422 IL

Authorized official

Name
Dr. Thomas Frederic Schneider Jr., DDS
Title
President
Phone
(773) 794-1332

About Irving Park Periodontics, LTD.

Irving Park Periodontics, LTD. is a healthcare organization registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 4949 W Irving Park Rd, Ste. D, Chicago, IL 60641-2655. The NPI number 1982976643 was assigned on January 27, 2012 and the record was last updated on January 27, 2012.

Irving Park Periodontics, LTD. lists a license in the registry: #021001422 (IL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Thomas Frederic Schneider Jr., DDS, President.

Frequently asked questions

What is the NPI number of Irving Park Periodontics, LTD.?

The NPI number is 1982976643.

What is the phone number of Irving Park Periodontics, LTD.?

The phone number listed for the practice location is (773) 794-1332.

Where is Irving Park Periodontics, LTD. located?

4949 W Irving Park Rd, Ste. D, Chicago, IL 60641-2655.

What is the taxonomy code for Irving Park Periodontics, LTD.?

The primary taxonomy code is 1223P0300X – Periodontics.

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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