Provider Demographics
NPI:1851839294
Name:EMILY C BARTELL DDS LTD
Entity Type:Organization
Organization Name:EMILY C BARTELL DDS LTD
Other - Org Name:ELMHURST FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-832-3120
Mailing Address - Street 1:360 W BUTTERFIELD RD STE 180
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5099
Mailing Address - Country:US
Mailing Address - Phone:630-832-3120
Mailing Address - Fax:630-832-3730
Practice Address - Street 1:360 W BUTTERFIELD RD STE 180
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5099
Practice Address - Country:US
Practice Address - Phone:630-832-3120
Practice Address - Fax:630-832-3730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019027038122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty