Individual provider · Type 1 NPI

Enrico Medina, DDS

General Practice Dentistry · Chicago, IL

NPI number 1720184559 Active

Practice location

10142 S Western Ave
Chicago, IL 60643-1928

Call (773) 233-3535 Map

Fax (773) 238-5713

Mailing address

2320 Simsbury Ct
Naperville, IL 60564-9559

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1720184559

Enrico Medina, DDS's National Provider Identifier is 1720184559, issued on Sep 16, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.