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DR. ENRICO MEDINA DDS
NPI 1720184559
Dentist - General Practice in Chicago, IL

Active since September 16, 2006
10142 S WESTERN AVE, CHICAGO, IL 60643(773) 233-3535(773) 238-5713 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Enrico Medina Dds NPPES

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

DR. ENRICO MEDINA DDS (NPI 1720184559) is an individual general practice provider in Chicago, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1720184559
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ENRICO MEDINACredential: DDS
Location Address10142 S WESTERN AVEChicago, IL 60643-1928
Mailing Address2320 Simsbury CtNaperville, IL 60564-9559 · (630) 904-4030 · Fax (773) 238-5713
Phone(773) 233-3535
Fax(773) 238-5713
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720184559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
10142 S WESTERN AVE, Chicago, IL 60643
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

BEVERLY SHORES SMILE CENTER
Dentist (General Practice)
10142 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 233-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enrico Medina's NPI number?

The NPI number for Enrico Medina is 1720184559. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Enrico Medina located?

Enrico Medina practices at 10142 S Western Ave, Chicago, IL 60643. The listed phone number is (773) 233-3535.

What is Enrico Medina's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Enrico Medina accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Enrico Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Enrico Medina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.