Provider Demographics
NPI:1427387166
Name:SALERNO, ROSARIO D (DDS)
Entity type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:D
Last Name:SALERNO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2972 ANDRUS DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-5211
Mailing Address - Country:US
Mailing Address - Phone:847-334-9652
Mailing Address - Fax:847-334-9652
Practice Address - Street 1:2972 ANDRUS DR
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-5211
Practice Address - Country:US
Practice Address - Phone:847-334-9652
Practice Address - Fax:847-334-9652
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190251911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice