Individual
DR. IVAN VALCARENGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
360 W BUTTERFIELD RD STE 230, ELMHURST, IL 60126-5000
(630) 834-8088
Mailing address
360 W BUTTERFIELD RD STE 230, ELMHURST, IL 60126-5000
(630) 834-8088
(630) 834-8091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019020242
IL
1223G0001X
General Practice Dentistry
Primary
019020242
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400480643
MEDICARE PTAN
—
Enumeration date
05/18/2007
Last updated
05/13/2024
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