Allcare Orthodontic Center LLC
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL
NPI 1457775710 · NPPES record last updated Feb 7, 2014
Key facts
- NPI
- 1457775710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 019026824 (IL)
- Legal business name
- ALLCARE ORTHODONTIC CENTER LLC
- Practice address
- 842 W 31St St
Chicago, IL 60608-5837 - Phone
- (312) 804-8304
- NPI assigned
- Feb 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Budi Kusnoto, DDS, MS
- Title
- President
- Phone
- (312) 804-8304
Practitioners 2
-
Budi Kusnoto, DDS, MS
-
Angela W Lu, D.M.D.
National Provider Directory
Locations
47 W Polk St
Ste 251
Chicago, IL 60605
842 W 31st St
Chicago, IL 60608
Phone (312) 804-8304
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 019026824 | IL | Yes |
Addresses
Primary practice location
842 W 31St St
Chicago, IL 60608-5837
Mailing address
47 W Polk St Ste 251
Chicago, IL 60605-2000
Phone (312) 804-8304
Other providers in Chicago, IL
- Corinne Haruko Allas
- Ahmad Allaw
- Mohammed Basel Allaw
- Raad Hatim Allawi
- Allcare Discount Pharmacy Inc
- Allcare Therapeutic System
- Megan Marie Allcock
- Michelle Omotayo Alle
- Amy Elizabeth Allegretti
- Joseph P Allegretti
All providers in Chicago, IL · Orthodontics and Dentofacial Orthopedics Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.