Mefagui Dental Office P.c. is a Dental Clinic in Chicago, Illinois. It is located at 6913 W. Grand Ave, Chicago, IL and its contact number is 773-622-4006. The authorized person for Mefagui Dental Office P.c. is Dr. Elsa Gamboa
who is President of the clinic and their contact number is 773-622-4006. The primary license number for Mefagui Dental Office P.c. is 019022954 (General Practice) in Illinois. Mefagui Dental Office P.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mefagui Dental Office P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mefagui Dental Office P.c.
Specialization:
General Practice Dentistry
Clinic Address:
6913 W. Grand Ave, Chicago, Illinois, 60707
Phone:
773-622-4006
Fax:
773-622-4114
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Elsa Gamboa
Position:
President
Contact Number:
773-622-4006
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mefagui Dental Office P.c. clinic are as mentioned below.
NPI Number:
1134370059
NPI Enumeration Date:
09 Oct, 2008
NPI Last Update On:
09 Oct, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mefagui Dental Office P.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
019022954
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1001939
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mefagui Dental Office P.c. 6913 W. Grand Ave, Chicago, Illinois
Zip:
60707
Phone Number:
773-622-4006
Fax Number:
773-622-4114
Patients can reach Mefagui Dental Office P.c. at 6913 W. Grand Ave, Chicago, Illinois or can call to book an appointment on 773-622-4006. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.