IndividualActive
Philip Fidel, DDS
NPI 1003008459 · General Practice Dentistry · Chicago, IL
Provider details
- NPI number
- 1003008459
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01922169 (IL)
Specialties & taxonomies
Dental Providers
Practice location
3236 W Fullerton Ave
Chicago, IL 60647-2512
Phone: (773) 276-0300
Fax: (773) 252-5994
Approximate (ZIP-level) locationGet directions
Mailing address
3236 W Fullerton Ave
Chicago, IL 60647-2512
Registry dates
- Enumerated
- 2007-08-09
- Last updated
- 2007-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.