Provider Demographics
NPI:1518026798
Name:VOEGELI, MICHAEL D (DDS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:VOEGELI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 W IRVING PARK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2140
Mailing Address - Country:US
Mailing Address - Phone:773-589-9003
Mailing Address - Fax:773-589-9667
Practice Address - Street 1:7601 W IRVING PARK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-2140
Practice Address - Country:US
Practice Address - Phone:773-589-9003
Practice Address - Fax:773-589-9667
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190216001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice