Chic Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

019023644 Issued in IL

Legal business name

CHIC DENTAL PC

Practice address

120 Ridge Ave Ste 20
Bloomingdale, IL 60108-2906

Phone

(630) 351-9944

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Chic

Title

President

Phone

(630) 351-9944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1942648936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RIDGE AVE. SUITE 20",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-351-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIDGE AVE STE 20",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082906",
            "telephone_number": "630-351-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "CHIC",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-351-9944",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019023644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jackman Charles, PSY.D.
• Jay Chaudhari, DPT
• Gunveen Chawla
• Alina Waqar Cheema, DO
• Christopher Chen, DMD
• Sandra M Chic, DDS
• Chicagoland Health Inc
• Chicagoland Hearing (Chicagoland Audibel)
• Chiro One Wellness Center of Bloomingdale LLC
• Chirofit and Wellness S.C.

• Dentist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.