Provider Demographics
NPI:1366446163
Name:FIGUEROA, ALVARO A (DDS)
Entity type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:A
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 GAGE ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1704
Mailing Address - Country:US
Mailing Address - Phone:847-501-4740
Mailing Address - Fax:847-501-4744
Practice Address - Street 1:1075 GAGE ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-1704
Practice Address - Country:US
Practice Address - Phone:847-501-4740
Practice Address - Fax:847-501-4744
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190189361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019018936Medicaid
IL80007361OtherBCBS # INDIVIDUAL
IL32517OtherBCBS # RCFC
IL32517OtherBCBS # RCFC
IL019018936Medicaid
IL80007361OtherBCBS # INDIVIDUAL