Individual
LIDIANE FUMIKO TAKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
567 W 14TH ST, CHICAGO HEIGHTS, IL 60411-2386
(708) 283-9800
(708) 283-9801
Mailing address
15630 ARIS CT, ORLAND PARK, IL 60462-7712
(213) 820-7456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034563
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2023
Last updated
08/03/2023
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