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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BUDI KUSNOTO, DDS, MS

Active Sole Proprietor

BUDI KUSNOTO, DDS, MS is a Orthodontics healthcare provider located in CHICAGO, Illinois. NPI 1447349618 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · CHICAGO, IL

Registration Details

NPI Number
1447349618
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.794997171602 yrs)
Last Updated
Jan 28, 2014
Licenses
019022824 (IL)
021002161 (IL)
Sole Proprietor
Yes

Practice Information

Address
842 W 31ST ST
CHICAGO, IL, 60608
Browse IL providers · Browse ZIP 60608
Phone
3128048304
Fax
3128733803
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in CHICAGO, IL

Name Credential NPI
DR. CARLOTTA ANN EVANS D.D.S. 1124018841
DR. YOON SOOK PARK D.D.S 1255375416
DR. ROBERT NUDERA DDS 1093807372
DR. NORMAN W. GARN D.D.S.,M.S. 1124109426
DR. GREGORY WAYNE JACKSON DDS 1801970769
DR. KENNETH S. HAUSER D.D.S. 1316023989
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.