Active NPI
Acdi Chicago LLC
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1235305681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.027884
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019013583 | IL | |
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Chicago, IL
- NPI 1477788438
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": []
}
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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.