Haidee Rochelle Emile, DMD
Individual provider Active NPI General Practice Dentistry · Chicago Heights, IL
NPI 1477837433 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1477837433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019028870 (IL)
- Practice address
- 567 W 14TH St
Chicago Heights, IL 60411-2323 - Phone
- (312) 274-0308
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220505000933 | IL | Order and Referring Only - Dentist |
6305233677 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haidee R Emile, DMD PLLC | General Practice | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019028870 | IL | Yes |
Addresses
Primary practice location
567 W 14TH St
Chicago Heights, IL 60411-2323
Mailing address
420 E Ohio St
Apt 23C
Chicago, IL 60611-3390
Phone (954) 881-5128
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All providers in Chicago Heights, IL · General Practice 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 Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.