Provider Demographics
NPI:1619017431
Name:CHUY, MARGARITA EMILIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:EMILIA
Last Name:CHUY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 W TOUHY AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1027
Mailing Address - Country:US
Mailing Address - Phone:847-602-0123
Mailing Address - Fax:
Practice Address - Street 1:3919 W TOUHY AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1027
Practice Address - Country:US
Practice Address - Phone:847-675-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019023739122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist