NPIMap

Organization Active NPI

Devon Dental Clinic,LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1134400831
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-023650 Issued in IL
Legal business name
DEVON DENTAL CLINIC,LTD
Practice address
6259 N Milwaukee Ave
Chicago, IL 60646-3735
Phone
(773) 631-6607
Fax
(773) 631-9745
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Halina Teresa Lech, DDSNPI 1578615803
Title
President
Phone
(773) 631-6607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019-023650 IL Primary

Addresses

Primary practice location

6259 N Milwaukee Ave
Chicago, IL 60646-3735

Mailing address

6259 N Milwaukee Ave
Chicago, IL 60646-3735
Phone (773) 631-6607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1134400831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463735",
            "telephone_number": "773-631-6607",
            "fax_number": "773-631-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6259 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463735",
            "telephone_number": "773-631-6607",
            "fax_number": "773-631-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON DENTAL CLINIC,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "LECH",
        "authorized_official_first_name": "HALINA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-631-6607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-023650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.