Provider Demographics
NPI:1699764845
Name:HUFF, ALINA L (DDS)
Entity type:Individual
Prefix:DR
First Name:ALINA
Middle Name:L
Last Name:HUFF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALINA
Other - Middle Name:L
Other - Last Name:APEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1776 APPLE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-4567
Mailing Address - Country:US
Mailing Address - Phone:630-788-9361
Mailing Address - Fax:
Practice Address - Street 1:5 W 2ND ST STE 7
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4134
Practice Address - Country:US
Practice Address - Phone:630-325-7700
Practice Address - Fax:630-214-3381
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190265661223G0001X
IL019-026566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9177537OtherPUBLIC AID - DORAL
IL9177537Medicaid