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

DR. ENRICO MEDINA, DDS

Active Sole Proprietor

DR. ENRICO MEDINA, DDS is a General Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1720184559 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHICAGO, IL

Registration Details

NPI Number
1720184559
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2006 (19.909389559226 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
10142 S WESTERN AVE
CHICAGO, IL, 606431928
Browse IL providers · Browse ZIP 60643
Phone
7732333535
Fax
7732385713
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in CHICAGO, IL

Name Credential NPI
DR. MICHAEL C GRIFFIN D.M.D. 1376546382
DR. KATHERINE LAUTERBACH D.D.S. 1528061520
DR. ALAN ARA BOGHOSIAN DDS 1285637272
DR. KENNETH FRIED DDS 1457354441
DR. VERONICA LYNN DIMARIO DDS 1891799508
DR. MARK J. GRUNBERG D.D.S. 1962407239
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.