Provider Demographics
NPI:1255446811
Name:REMIEN BIGG, VICTORIA GAIL (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:GAIL
Last Name:REMIEN BIGG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 COMPASS ROAD
Mailing Address - Street 2:SUITE L
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026
Mailing Address - Country:US
Mailing Address - Phone:847-657-9111
Mailing Address - Fax:847-657-9116
Practice Address - Street 1:2550 COMPASS ROAD
Practice Address - Street 2:SUITE L
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026
Practice Address - Country:US
Practice Address - Phone:847-657-9111
Practice Address - Fax:847-657-9116
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190197121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
363892140OtherTAX ID