# FIRST SMILE HD 3D 4D ULTRASOUND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639851561
- **Authorized official:** MR. DAVID ANIBAL MENDEZ (OWNER)
- **Authorized official phone:** (773) 592-6925

## Contact information

- **Practice address:** 800 E NORTHWEST HWY STE 102, MOUNT PROSPECT, IL 60056-3457
- **Practice address phone:** (224) 735-2318
- **Mailing address:** 800 E NORTHWEST HWY STE 102, MOUNT PROSPECT, IL 60056-3457
- **Mailing address phone:** (224) 735-2318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2023
- **Last updated:** 08/01/2023