Active NPI
Lourdes Dilan, DMD
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1306029855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 5214 N Western Ave
Ste. 205
Chicago, IL 60625-2589 - Phone
- (773) 275-2300
- NPI assigned
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
5214 N Western Ave
Ste. 205
Chicago, IL 60625-2589
Mailing address
5214 N Western Ave
Ste. 205
Chicago, IL 60625-2589
Phone (773) 275-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.022961 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1306029855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5214 N WESTERN AVE",
"address_2": "STE. 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252589",
"telephone_number": "773-275-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5214 N WESTERN AVE",
"address_2": "STE. 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252589",
"telephone_number": "773-275-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILAN",
"first_name": "LOURDES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.