Provider Demographics
NPI:1902926116
Name:CHESTAND, ARTHUR (DMD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:CHESTAND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 S WESTERN AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-4757
Mailing Address - Country:US
Mailing Address - Phone:773-779-2887
Mailing Address - Fax:773-779-0907
Practice Address - Street 1:11700 S WESTERN AVE
Practice Address - Street 2:STE 5
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-4757
Practice Address - Country:US
Practice Address - Phone:773-779-2887
Practice Address - Fax:773-779-0907
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice