SearchIllinois1223G0001X

Sam Ciccarelli, D.D.S

NPI 1912070426 · on the registry since 2006 · sole proprietor

Practice

Address
7129 W Belmont Ave
Chicago, IL 60634
Phone
(773) 745-5898
Fax
(773) 745-5756

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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