Pilsen Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19023116 Issued in IL

Legal business name

PILSEN DENTAL GROUP

Practice address

1859 S Blue Island Ave
Chicago, IL 60608-3012

Phone

(131) 266-6556

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chris Tsaliagos, DDS

Title

Owner

Phone

(312) 666-5560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1144456658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083012",
            "telephone_number": "131-266-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083012",
            "telephone_number": "131-266-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILSEN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "TSALIAGOS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "13126665560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19023116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pillpack LLC (Amazon Pharmacy #011)
• Carey M. Pilo, D.O.
• Malourdes Canete Pilones
• Pilsen Community Pediatrics S. C.
• Pilsen Dental Center
• Pilsen Eye Care PLLC
• Pilsen Little Village Community Mental Health Center (Pilsen Wellness Center, Inc.)
• Pilsen Little Village Community Mental Health Center (Pilsen Wellness Center)
• Pilsen Little Village Community Mental Health Center, Inc.
• Pilsen Little Village Mental Health Center (Pilsen Wellness Center)

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.