NPI 1013262401

Alfredo Carrasquillo, RDH

Practitioner Dental Hygienist Chicago, IL

Practice location

Address: 4104 W Nelson St, Chicago, IL 60641-5441
Phone: (773) 540-1740

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020.014003 (IL)

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Registry record

NPI: 1013262401
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2012
Record last updated: 21 Jul 2012

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.