Provider Demographics
NPI:1194995332
Name:CHILDRENS DENTISTRY JOSEPH F ZUCCHERO DDS MS
Entity type:Organization
Organization Name:CHILDRENS DENTISTRY JOSEPH F ZUCCHERO DDS MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ZUCCHERO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-792-2347
Mailing Address - Street 1:7447 W TALCOTT
Mailing Address - Street 2:SUITE 566
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631
Mailing Address - Country:US
Mailing Address - Phone:773-792-2347
Mailing Address - Fax:
Practice Address - Street 1:7447 W TALCOTT
Practice Address - Street 2:SUITE 566
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631
Practice Address - Country:US
Practice Address - Phone:773-792-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDRENS DENTISTRY JOSEPH F ZUCCHERO DDS MS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty