Provider Demographics
NPI:1750599494
Name:VALCARENGHI, KATHRYN (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:VALCARENGHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:PAVLETIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:360 W BUTTERFIELD RD STE 230
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5000
Mailing Address - Country:US
Mailing Address - Phone:630-834-8088
Mailing Address - Fax:630-834-8091
Practice Address - Street 1:360 W BUTTERFIELD RD STE 230
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5000
Practice Address - Country:US
Practice Address - Phone:630-834-8088
Practice Address - Fax:630-834-8091
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019020294122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice