Organization
ISMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA DELGADO (GENERAL MANAGER)
(773) 887-3244
Entity
Organization
Contact information
Practice address
4953 WEST FULLERTON AVE, CHICAGO, IL 60639
(773) 887-3244
(773) 897-6697
Mailing address
4953 W FULLERTON AVE, CHICAGO, IL 60639-2505
(773) 655-7455
(773) 897-6697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-027782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437149622
—
IL
Enumeration date
09/01/2016
Last updated
09/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us