Provider Demographics
NPI:1740850593
Name:RAMASWAMY, DEVON SCHILPP (DDS)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:SCHILPP
Last Name:RAMASWAMY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W JACKSON BLVD STE 1410
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3867
Mailing Address - Country:US
Mailing Address - Phone:312-939-2400
Mailing Address - Fax:
Practice Address - Street 1:111 W JACKSON BLVD STE 1410
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3867
Practice Address - Country:US
Practice Address - Phone:312-939-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013665A122300000X
IL019.033536122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentist