ALFREDO CARRASQUILLO


Address: 4104 W Nelson St, Chicago, IL 60641-5441
Phone: 7735401740

ALFREDO CARRASQUILLO (NPI# 1013262401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013262401
Entity Type Individual
Full Name ALFREDO CARRASQUILLO
Credential RDH
Practice Address 4104 W Nelson St
Chicago
IL 60641-5441
Practice Telephone 7735401740
Mailing Telephone 7735401740
Enumeration Date 2012-07-21
Last Update Date 2012-07-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 020.014003 IL Dental Providers

Office Location

Street Address 4104 W NELSON ST
City CHICAGO
State IL
Zip Code 60641-5441

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1174906853 Heather Rocco Hearing Instrument Specialist 4122 N Millwaukee Ave, Chicago, IL 60641 2015-06-30
1770910184 Kendra Manning Physician Assistant 4959 W. Belmont Ave, Chicago, IL 60641 2013-09-30
1679916274 Don E Mccree Technician, Cardiology 2936 N. Kolmar, 3c, Chicago, IL 60641 2013-04-12
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417504192 Laura M Scully Dental Hygienist 7013 W Farragut Ave, Chicago, IL 60656-1923 2019-08-19
1982269551 Elisabeth Raya Dental Hygienist 1950 W Polk St Ste 1000, Chicago, IL 60612-3723 2019-05-08
1477009793 Shawanda Carothers Dental Hygienist 8321 S. Hermitage Ave, Chicago, IL 60620-4630 2016-08-28
1033664420 Rozalia Orlof Dental Hygienist 5415 N Neva Ave, Chicago, IL 60656-1934 2016-08-16
1053865865 Gina Marie Misch Dental Hygienist 6535 W 60th St, Chicago, IL 60638-3313 2016-08-09
1255785994 Daviliqua Thomas Dental Hygienist 7215 N Bell Ave, Chicago, IL 60645-2046 2016-04-19
1063889228 Allison Winters Dental Hygienist 1741 W 93rd St, Chicago, IL 60643-5851 2015-08-24
1265784151 Van Anh Nguyen Dental Hygienist 6074 N Troy St., Chicago, IL 60659 2012-10-03
1326318718 Althea Brinker-thomas Dental Hygienist 3851 W Ogden Ave, Attn: Dental Dept, Chicago, IL 60623-2459 2012-01-03
1760587448 Dental Comfort,ltd Dental Hygienist 4239 S. Archer Ave., Chicago, IL 60632 2006-09-14
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Competitor

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City CHICAGO
Zip Code 60641

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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