Dental Vue PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

060010238 Issued in IL

Legal business name

DENTAL VUE PC

Practice address

1447 Lee St
Des Plaines, IL 60018-1516

Phone

(847) 414-3573

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vicken Ichkhan, DDS

Title

DDS/Owner

Phone

(847) 414-3573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1497083034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181516",
            "telephone_number": "847-414-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181516",
            "telephone_number": "847-414-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL VUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ICHKHAN",
        "authorized_official_first_name": "VICKEN",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "847-414-3573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "060010238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Demarco, LCSW
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• Vivian Eseoghene Deniran
• Harbans K Deol, MD
• Julie Depalma, PHARMD
• Deron Logicare LLC
• Des Plaines CC School Dist 62
• Des Plaines Chiropractic Center

• Dental Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.