Provider Demographics
NPI:1922335942
Name:BORIS KALTCHEV DMD, P.C.
Entity Type:Organization
Organization Name:BORIS KALTCHEV DMD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BORISLAV
Authorized Official - Middle Name:DENKOV
Authorized Official - Last Name:KALTCHEV
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:630-766-2223
Mailing Address - Street 1:140 E COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:WOOD DALE
Mailing Address - State:IL
Mailing Address - Zip Code:60191-1582
Mailing Address - Country:US
Mailing Address - Phone:630-766-2223
Mailing Address - Fax:630-766-2537
Practice Address - Street 1:140 E COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1582
Practice Address - Country:US
Practice Address - Phone:630-766-2223
Practice Address - Fax:630-766-2537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190264891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty