Organization Active NPI

Acdi Chicago LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1235305681
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.027884 Issued in IL
Legal business name
ACDI CHICAGO LLC
Practice address
625 N Michigan Ave
Suite #1710
Chicago, IL 60611-3110
Phone
(312) 440-9200
Fax
(312) 867-0865
NPI assigned
May 6, 2008
Last updated
Aug 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Mrs. Zuzana Vitkova
Title
Chief Financial Officer
Phone
(630) 586-9483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019013583 IL
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019.027884 IL Primary

Addresses

Primary practice location

625 N Michigan Ave
Suite #1710
Chicago, IL 60611-3110

Mailing address

625 N Michigan Ave
Suite #1710
Chicago, IL 60611-3110
Phone (312) 440-9200

National Provider Directory

National Provider Directory

Locations

625 N Michigan Ave
Ste 1710
Chicago, IL 60611
Phone (312) 440-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1235305681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE",
            "address_2": "SUITE #1710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113110",
            "telephone_number": "312-440-9200",
            "fax_number": "312-867-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE",
            "address_2": "SUITE #1710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113110",
            "telephone_number": "312-440-9200",
            "fax_number": "312-867-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACDI CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "VITKOVA",
        "authorized_official_first_name": "ZUZANA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-586-9483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019013583",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027884",
            "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 Aug 7, 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.