Northern Illinois Endodontics, LTD
Organization Active NPI Endodontics · Dekalb, IL
NPI 1023238797 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023238797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- Legal business name
- NORTHERN ILLINOIS ENDODONTICS, LTD
- Practice address
- 3251 Commerce Dr Ste a
Dekalb, IL 60115-7908 - Phone
- (815) 756-8881
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas E Allaway, D.D.S., M.S.
- Title
- President
- Phone
- (815) 756-8881
Practitioners 3
-
Thomas Edward Allaway, D.D.S., M.S.
-
Matthew Konrad Dietz, D.M..D.,M.S.
-
Scott Allen Drancik, D.M.D., M.S.
National Provider Directory
Locations
3251 Commerce Dr
Ste A
DeKalb, IL 60115
Phone (815) 756-8881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | Yes |
Addresses
Primary practice location
3251 Commerce Dr Ste a
Dekalb, IL 60115-7908
Mailing address
3251 Commerce Dr Ste a
Dekalb, IL 60115-7908
Phone (815) 756-8881
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.