Dr. Philip E Fidel
Dentist - General Practice
3236 W Fullerton Ave
Chicago
, Illinois 60647-2512
Dr. Philip E Fidel
Dentist - General Practice
3236 W Fullerton Ave
Chicago
, Illinois 60647-2512
(773) 252-5994
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Philip E Fidel
- 3236 W Fullerton Ave
- Chicago, IL
- Zip : 60647-2512
- Fax : (773) 252-5994
- Phone : (773) 276-0300
Second Address
- Dr. Philip E Fidel
- 3236 W Fullerton Ave
- Chicago, IL
- Zip : 60647-2512
- Fax : (773) 252-5994
- Phone : (773) 276-0300
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Is Dr. Philip E Fidel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 01922169 | IL |
| Y | 213EG0000X | General Practice | 01922169 | IL |
National Provider Identifier
| NPI | 1003008459 |
|---|---|
| Provider Name | Dr. Philip E Fidel |
| First Address | Chicago, IL 60647-2512 |
| Second Address | Chicago, IL 60647-2512 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2007 |
| Last Update Date | 09/08/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.