Smile Group Highland Park, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE GROUP HIGHLAND PARK, PLLC

Practice address

806 Central Ave Ste 201
Highland Park, IL 60035-5613

Phone

(847) 432-4131

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Gregoire

Title

Director

Phone

(847) 727-4077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1164005740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N WOOD ST APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228800",
            "telephone_number": "847-727-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 CENTRAL AVE STE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355613",
            "telephone_number": "847-432-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE GROUP HIGHLAND PARK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "GREGOIRE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-727-4077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Skladzien, CRNA
• Sleepwell Illinois LLC
• Marc H Slutsky, MD
• Marilyn G/ Slutzky, LCPC
• Alison Smetana, OTR/L
• Smiles in Motion, PC
• David A. Smiley, M.D.
• Denver M Smith, PA-C
• David Smyth, DDS
• Matthew John Snowdon, D.O.

• Dental Clinic/Center in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.