Family Dental Enter Chicago

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILY DENTAL ENTER CHICAGO

Practice address

2710 W Devon Ave. 3Rd Floor
Wheeling, IL 60090

Phone

(773) 262-4242

Fax

(773) 262-4343

NPI assigned

Jun 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Neli Tujarova

Title

Manager

Phone

(773) 262-4242

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1083841449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 W DEVON AVE. 3RD FLOOR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "773-262-4242",
            "fax_number": "773-262-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 W DEVON AVE. 3RD FLOOR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "773-262-4242",
            "fax_number": "773-262-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL ENTER CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "TUJAROVA",
        "authorized_official_first_name": "NELI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-262-4242"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenaida Del Carpio Ezpeleta, RN
• Diana Faltushansky, MD
• Familia Dental Wheeling 2 LLC
• Familia Dental Wheeling 3 LLC
• Familia Dental Wheeling LLC (Familia Dental)
• Family Medical Center
• Marina Feferman, PHARM D
• Samantha Feldman
• Femacare Obstetrics & Gynecology S.C
• Stephan B Fina, RPH

• Dental Clinic/Center in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.