Provider Demographics
NPI:1427220250
Name:CAGHAN, MILAGRITOS EDITH
Entity Type:Individual
Prefix:DR
First Name:MILAGRITOS
Middle Name:EDITH
Last Name:CAGHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:MILAGROS
Other - Middle Name:
Other - Last Name:GALVEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:355 GREENLEAF AVE STE E
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60085-5708
Mailing Address - Country:US
Mailing Address - Phone:847-249-5700
Mailing Address - Fax:847-249-5714
Practice Address - Street 1:355 GREENLEAF AVE STE E
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:IL
Practice Address - Zip Code:60085-5708
Practice Address - Country:US
Practice Address - Phone:847-249-5700
Practice Address - Fax:847-249-5714
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist