Provider Demographics
NPI:1063402824
Name:FINKEL, CALVIN MANDEL (DDS)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:MANDEL
Last Name:FINKEL
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 1:3705 ARCADIA ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1740
Mailing Address - Country:US
Mailing Address - Phone:847-676-2180
Mailing Address - Fax:
Practice Address - Street 1:8310 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2415
Practice Address - Country:US
Practice Address - Phone:847-673-9114
Practice Address - Fax:847-674-1410
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190182651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019018265OtherLICENCE