Provider Demographics
NPI:1679103774
Name:WHAL RAN RHIM-LAVIN DDS PC
Entity type:Organization
Organization Name:WHAL RAN RHIM-LAVIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WHAL RAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RHIM-HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-460-7114
Mailing Address - Street 1:9631 W 153RD ST STE 31
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-3778
Mailing Address - Country:US
Mailing Address - Phone:708-460-7114
Mailing Address - Fax:708-460-7372
Practice Address - Street 1:9631 W 153RD ST STE 31
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3778
Practice Address - Country:US
Practice Address - Phone:708-460-7114
Practice Address - Fax:708-460-7372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty