Individual provider Active NPI

Deborah Pateqi, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1093663718
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019037180 Issued in IL
Practice address
6560 W Fullerton Ave Unit C106
Chicago, IL 60707-3439
Phone
(773) 385-6700
NPI assigned
Mar 18, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019037180 IL Primary

Addresses

Primary practice location

6560 W Fullerton Ave Unit C106
Chicago, IL 60707-3439

Mailing address

1421 Gracedale Dr
Rochester Hills, MI 48309-2261
Phone (248) 550-6156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1093663718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GRACEDALE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092261",
            "telephone_number": "248-550-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W FULLERTON AVE UNIT C106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073439",
            "telephone_number": "773-385-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEQI",
        "first_name": "DEBORAH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019037180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.