Harlem Irving Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19017598 Issued in IL

Legal business name

HARLEM IRVING FAMILY DENTAL, LLC

Practice address

7601 W Irving Park Rd Ste 102
Chicago, IL 60634-2140

Phone

(773) 589-9220

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Kristy Wolter

Title

Insurance Manager

Phone

(630) 869-5857

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1104302439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E WOODFIELD RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734947",
            "telephone_number": "630-689-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 W IRVING PARK RD STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342140",
            "telephone_number": "773-589-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM IRVING FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "630-869-5857"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "19017598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Harkrader
• Anne Harlan Strohm, PH.D.
• James Chamberlain Harlan II, M.D.
• Kayla Jensena Harlan, LSW, P-CADC
• Sarah J Harlan, PT
• Cori Harley, PSY.D.
• Rand Harlow, DDS
• Logan Harman
• Carla Harmath
• Robert E Harmeyer, D.C.

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Jul 19, 2018; 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.