Provider Demographics
NPI:1841531209
Name:ALIN ALKASS, DDS, PC
Entity type:Organization
Organization Name:ALIN ALKASS, DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR/GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKASS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-763-7434
Mailing Address - Street 1:5780 N ELSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5546
Mailing Address - Country:US
Mailing Address - Phone:773-763-7434
Mailing Address - Fax:773-763-7613
Practice Address - Street 1:5780 N ELSTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5546
Practice Address - Country:US
Practice Address - Phone:773-763-7434
Practice Address - Fax:773-763-7613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190268521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty