Dr. Edward Roger Chavez
Dentist in Wheaton, IL. Individual provider (NPI-1).
NPI number1346587797
StatusActive
Last updated in NPPESJan 4, 2013
Details
- NPI
- 1346587797
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Roger Chavez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2013
- Last updated
- Jan 4, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019017516 | IL | Yes |
Practice location
200 E Willow AveSuite 304
Wheaton, IL 60187-5463
Phone 630-510-0731 · Fax 630-510-9779
Mailing address
200 E Willow AveSuite 304
Wheaton, IL 60187-5463
Phone 630-510-0731 · Fax 630-510-9779
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 32 Dentist providers in Wheaton · All 2,946 providers in Wheaton
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