Individual
DR. CHRISTIAN XAVIER CAICEDO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1873 SHERMER RD, NORTHBROOK, IL 60062-5300
(847) 498-5970
Mailing address
1873 SHERMER RD, NORTHBROOK, IL 60062-5300
(813) 598-8638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.032183
DENTAL LICENSE
IL
Enumeration date
06/25/2019
Last updated
04/29/2026
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