Sandra M Chic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-023644 Issued in IL

Practice address

120 Ridge Ave. Suite 20
Bloomingdale, IL 60108

Phone

(630) 351-9944

Fax

(630) 351-7312

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1407996580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 MONTCLAIRE CIR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736180",
            "telephone_number": "847-995-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIDGE AVE. SUITE 20",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-351-9944",
            "fax_number": "630-351-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIC",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-023644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Chaudhari, DPT
• Gunveen Chawla
• Alina Waqar Cheema, DO
• Christopher Chen, DMD
• Chic Dental PC
• Chicagoland Health Inc
• Chicagoland Hearing
• Chiro One Wellness Center of Bloomingdale LLC
• Chirofit and Wellness S.C.
• Trishna Chohan, PHARM. D

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, 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 Jan 23, 2020; 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.