SearchIllinois1223X0400X

Budi Kusnoto, DDS, MS

NPI 1447349618 · on the registry since 2006 · sole proprietor

Practice

Address
842 W 31st St
Chicago, IL 60608
Phone
(312) 804-8304
Fax
(312) 873-3803
Organisation at this address
Allcare Orthodontic Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois