Organization
CHACON DENTAL GROUP
Active
Other names
Aurora Orthodontics and Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE CHACON DDS.MD (ORTHODONTIST)
(630) 338-1658
Entity
Organization
Contact information
Practice address
3535 E NEW YORK ST, AURORA, IL 60504-4465
(630) 338-1652
(630) 689-1358
Mailing address
3535 E NEW YORK ST, AURORA, IL 60504-4465
(630) 338-1652
(630) 689-1358
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
019026187
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019026092
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065880272
—
IL
05
—
200384161
—
IL
Enumeration date
09/23/2014
Last updated
09/23/2014
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