Active NPI
Allure Dental Lincoln Park
- Dental Clinic/Center
- Chicago, IL
National Provider Identifier
1982257218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ALLURE DENTAL LINCOLN PARK
- Practice address
- 558 W Diversey Pkwy
Chicago, IL 60614-1678 - Phone
- (312) 565-0014
- NPI assigned
- Jul 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Atta Baber
- Title
- DDS/ Owner
- Phone
- (312) 565-0014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
558 W Diversey Pkwy
Chicago, IL 60614-1678
Mailing address
558 W Diversey Pkwy
Chicago, IL 60614-1678
Phone (312) 565-0014
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563235200000",
"number": "1982257218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 W DIVERSEY PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141678",
"telephone_number": "312-565-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "558 W DIVERSEY PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141678",
"telephone_number": "312-565-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLURE DENTAL LINCOLN PARK",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A",
"authorized_official_last_name": "BABER",
"authorized_official_first_name": "ATTA",
"authorized_official_title_or_position": "DDS/ OWNER",
"authorized_official_telephone_number": "312-565-0014"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.