Edp of Illinois P.C
Organization Active NPI Dental Clinic/Center · Dupo, IL
NPI 1154712784 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1154712784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- EDP OF ILLINOIS P.C
- Practice address
- 195 S Main St
Dupo, IL 62239-1347 - Phone
- (312) 800-1270
- NPI assigned
- Feb 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Melissa Garibay
- Title
- Credentialing Manager
- Phone
- (312) 736-8963
Corporate family (same tax ID) 1
Practitioners 47
-
Gilbert Abadilla, DDS
-
Paul M Anfenson, D.D.S.
-
Peter S Baek, D.D.S.
-
Ravi Mahesh Barot, DMD
-
Mark D. Beck, D.D.S.
-
Michael Bentley, DDS
-
Vikas Beri, DMD
-
Niyati Bhakta, DDS
-
Steven F Biagini, D.D.S.
-
Audrey Brakensiek, DMD
-
Sarah Rose Devivo, DMD
-
Paul David Doodes, D.D.S., PH.D.
-
Jennifer Duong, DMD
-
August James Durso Jr., D.D.S.
-
Walter Douglas Flor, DDS
-
Lion Grenader, DMD
-
Maryann Hafezi, DMD
-
Theresa Jansky, D.D.S.
-
Margaret Johnson, DDS
-
James S Kakos, DDS FAGD
-
Nezar Ahmed Kassem, D.D.S.
-
Steven Jamaal Keglar, DDS
National Provider Directory
- Tax ID family
- Elite Dental Partners LLC
Locations
785 S Randall Rd
Algonquin, IL 60102
Phone (847) 648-2739
417 E Il Route 173
Unit 113
Antioch, IL 60002
Phone (847) 395-5550
142 S Gary Ave
Ste 102
Bloomingdale, IL 60108
Phone (630) 283-0652
1 E Wacker Dr
Ste 1850
Chicago, IL 60601
607 S 4th St
Chillicothe, IL 61523
Phone (309) 274-6237
632 S Main St
Creve Coeur, IL 61610
Phone (309) 340-1624
195 S Main St
Dupo, IL 62239
Phone (618) 286-4400
1441 S Randall Rd
Ste C
Geneva, IL 60134
Phone (630) 402-0359
658 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 858-0216
18340 Governors Hwy
Homewood, IL 60430
Phone (708) 799-0660
1704 Patton Dr
Ste 1
Mahomet, IL 61853
Phone (203) 530-3136
2073 E Laraway Rd
New Lenox, IL 60451
Phone (815) 463-5865
1318 W Candletree Dr
Peoria, IL 61614
Phone (309) 691-9171
10904 N Main St
Richmond, IL 60071
Phone (815) 862-1112
1301 N Alpine Rd
Rockford, IL 61107
Phone (815) 397-4280
40W177 Campton Crossings Dr
Unit B
St Charles, IL 60175
Phone (630) 443-5000
644 Sheridan Rd
#105
Winthrop Harbor, IL 60096
Phone (847) 872-5626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 021.001656 | IL | |
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
195 S Main St
Dupo, IL 62239-1347
Mailing address
141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Phone (312) 800-1270
Other practice location 1
115 S Wilke Rd Ste 104
Arlington Heights, IL 60005-1500
Phone (847) 253-0195
Other practice location 2
785 S Randall Rd
Algonquin, IL 60102-5914
Phone (847) 854-9833
Other practice location 3
417 E Il Route 173 Unit 113
Antioch, IL 60002-9407
Phone (847) 395-5550
Other practice location 4
417 E Il Route 173 Unit 113
Antioch, IL 60002-9407
Phone (847) 395-5550
Other practice location 5
1307 E. Rand Rd
Arlington Heights, IL 60004
Phone (847) 392-4422
Other practice location 6
1401 S Arlington Heights Rd Ste 1
Arlington Heights, IL 60005-3700
Phone (847) 758-0100
Other practice location 7
708 E Bethalto Dr
Bethalto, IL 62010-1871
Phone (618) 377-0044
Other practice location 8
142 S Gary Ave Ste 102
Bloomingdale, IL 60108-2226
Phone (630) 283-0652
Other practice location 9
183 S Bloomingdale Rd Ste 200
Bloomingdale, IL 60108-1400
Phone (630) 529-2522
Other practice location 10
607 S 4th St
Chillicothe, IL 61523-2277
Phone (309) 274-6237
Other practice location 11
632 S Main St
Creve Coeur, IL 61610-3974
Phone (309) 698-0220
Other practice location 12
1645 S River Rd Ste 21
Des Plaines, IL 60018-2206
Phone (847) 299-4811
Other practice location 13
1441 S Randall Rd Ste C
Geneva, IL 60134-4625
Phone (630) 402-0359
Other practice location 14
658 Roosevelt Rd
Glen Ellyn, IL 60137-5819
Phone (630) 858-0216
Other practice location 15
18340 Governors Hwy
Homewood, IL 60430-2910
Phone (708) 799-0660
Other practice location 16
4113 N Johnsburg Rd
Johnsburg, IL 60051-6323
Phone (815) 344-0028
Other practice location 17
1704 Patton Dr Ste 1
Mahomet, IL 61853-8137
Phone (217) 586-7878
Other practice location 18
19721 Wolf Rd
Mokena, IL 60448-1307
Phone (708) 479-5865
Other practice location 19
1661 Feehanville Dr Ste 420
Mount Prospect, IL 60056-6045
Phone (847) 635-0117
Other practice location 20
2073 E Laraway Rd
New Lenox, IL 60451-9507
Phone (815) 463-5865
Other practice location 21
7620 N University St
Peoria, IL 61614-1297
Phone (309) 693-0043
Other practice location 22
1318 W Candletree Dr
Peoria, IL 61614-8508
Phone (309) 692-6206
Other practice location 23
10904 N Main St
Richmond, IL 60071-7717
Phone (815) 862-1112
Other practice location 24
1301 N Alpine Rd
Rockford, IL 61107-2262
Phone (815) 397-4280
Other practice location 25
40W177 Campton Xing Dr Unit B
St Charles, IL 60175-6594
Phone (630) 443-5000
Other practice location 26
28365 Davis Pkwy Ste 206
Warrenville, IL 60555-3034
Phone (630) 836-8995
Other practice location 27
57 Danada Sq E
Wheaton, IL 60189-8484
Phone (630) 528-0717
Other practice location 28
644 Sheridan Rd # 105
Winthrop Harbor, IL 60096-1350
Phone (847) 872-5626
Other names
- Affordable Dental of Illnois
Other providers in Dupo, IL
- Community Unit School District No 196
- Michael Robert Dambacher
- Kimberly Davis
- Nicholas Michael Dubina
- Dupo Fire Protection District
- Hannah Frances Goodson
- Holon Inclusive Behavioral Health
- Jessica Whelan LLC
- John Norman Kimmich
- Ken Kloess
All providers in Dupo, IL · Dental Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. 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.