Organization · Type 2 NPI
International Dental Center
Point of Service · Chicago, IL
NPI number
1013063031
Active
Practice location
2122 N Milwaukee Ave
Chicago, IL 60647-4067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Another provider at this address
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About NPI 1013063031
International Dental Center's National Provider Identifier is 1013063031, issued on Jan 25, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2022.