Organization
WICKER PARK ORTHODONTIA, LTD.
Active
Organization
WICKER PARK ORTHODONTIA, LTD.
Active
Other names
Wicker Park Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
NIDZA ALICEA (MANAGER)
(773) 235-0980
Entity
Organization
Contact information
Practice address
1921 W. NORTH AVE S, CHICAGO, IL 60622
(773) 276-5566
Mailing address
1921 W. NORTH AVE S, CHICAGO, IL 60622
(773) 276-0335
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060010055
IL
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up