Provider Demographics
NPI:1740306174
Name:JANZEN JANZEN & CHWA ORTHODONTICS LTD
Entity type:Organization
Organization Name:JANZEN JANZEN & CHWA ORTHODONTICS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYINT
Authorized Official - Middle Name:HWAT
Authorized Official - Last Name:CHWA
Authorized Official - Suffix:
Authorized Official - Credentials:BDS DDS MS
Authorized Official - Phone:847-272-0600
Mailing Address - Street 1:1220 MEADOW ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-9998
Mailing Address - Country:US
Mailing Address - Phone:847-272-0600
Mailing Address - Fax:847-272-1094
Practice Address - Street 1:1220 MEADOW ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-9998
Practice Address - Country:US
Practice Address - Phone:847-272-0600
Practice Address - Fax:847-272-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty