NPI 1003062464

Cheitali Bhansali, DMD

Practitioner General Practice Dentistry Oak Lawn, IL

Practice location

Address: 8715 Ridgeland Ave, Oak Lawn, IL 60453-1001
Phone: (708) 599-8122
Mailing address: 1883 Chippendale Ln, Glendale Heights, IL 60139-1916

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019-027796 (IL)

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Registry record

NPI: 1003062464
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2008
Record last updated: 15 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.