Warren Y Avny, DDS
Individual provider Active NPI Endodontics · Mt Prospect, IL
NPI 1003948571 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003948571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- Practice address
- 411 W Walnut St
Mt Prospect, IL 60056-2472 - Phone
- (847) 398-0404
- Fax
- (847) 398-0439
- NPI assigned
- Mar 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | IL | Yes |
Addresses
Primary practice location
411 W Walnut St
Mt Prospect, IL 60056-2472
Mailing address
411 W Walnut St
Mt Prospect, IL 60056-2472
Phone (847) 398-0404
Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.