Kristine A Spilotro Gargiulo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

2604 E Dempster St
Landings Professional Center Suite 202
Park Ridge, IL 60068

Phone

(847) 299-0557

Fax

(847) 299-0561

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1083814354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E DEMPSTER ST",
            "address_2": "LANDINGS PROFESSIONAL CENTER SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-299-0557",
            "fax_number": "847-299-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 E DEMPSTER ST",
            "address_2": "LANDINGS PROFESSIONAL CENTER SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-299-0557",
            "fax_number": "847-299-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILOTRO GARGIULO",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialized Imaging Services, Inc
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• Sam J. Speron, M.D.
• Tiffany Spicer, BCBA
• Timothy Spiegel
• Anthony M Spina, DDS MD
• Jamie Spitz, M.D.
• Jill Amanda Spooner, LCSW
• Shantha S. Sreekanth, M.D.
• Chanont Sricharoen

• General Practice Dentistry in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.