PRIMECARE DENTAL LLC
NPI 1467789867
Dentist - General Practice in Chicago, IL

Active since November 06, 2009
4239 W NORTH AVE, CHICAGO, IL 60639(773) 276-3360(773) 276-4032 Get Directions Write a Review

NPPES record last updated: November 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Primecare Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMECARE DENTAL LLC (NPI 1467789867) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since November 2009. The organization lists Kathleen M Hansen, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1467789867
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIMECARE DENTAL LLC
Location Address4239 W NORTH AVEChicago, IL 60639-4852
Mailing Address4239 W North AveChicago, IL 60639-4852 · (773) 276-3360 · Fax (773) 276-4032
Fax(773) 276-4032
Organization SubpartNo
Authorized OfficialKathleen M HansenSole Member · (773) 276-3360
Enumeration DateNovember 6, 2009
NPI 1467789867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019019366
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4239 W NORTH AVE, Chicago, IL 60639

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Clinic Pharmacy)
4239 W NORTH AVE
CHICAGO, IL 60639

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467789867, enumerated as an "organization" on November 06, 2009.

The provider is located at 4239 W NORTH AVE CHICAGO, IL 60639 and the phone number is (773) 276-3360.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.