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VDC CICERO CORP NPI 1467920686


NPI Information

NPI: 1467920686
Provider Name: VDC CICERO CORP
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3320 S CICERO AVE
CICERO, IL
ZIP 60804
Phone: (917) 544-1626
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VDC CICERO CORP is a dental clinic center in Cicero, IL. VDC CICERO CORP NPI is 1467920686. The provider is registered as an organization entity type.

The provider's business location address is:

3320 S CICERO AVE
CICERO, IL
ZIP 60804-531
Phone: (917) 544-1626

The provider's authorized official is Esam Jumani .
The authorized official title is Owner and has the following contact phone number (917) 544-1626.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 11/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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