Associates for Family Dentistry Chicago LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ASSOCIATES FOR FAMILY DENTISTRY CHICAGO LTD

Practice address

183 S Bloomingdale Rd
Suite 3
Bloomingdale, IL 60108-1466

Phone

(630) 893-8636

Fax

(630) 893-4962

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J Wodniak, D.D.S.NPI 1851505101

Title

President Dentist

Phone

(630) 893-8636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas John Wodniak, D.D.S.

  • General Practice Dentistry
  • Bloomingdale, IL
  • NPI 1851505101
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245435239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD",
            "address_2": "SUITE 3",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081466",
            "telephone_number": "630-893-8636",
            "fax_number": "630-893-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD",
            "address_2": "SUITE 3",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081466",
            "telephone_number": "630-893-8636",
            "fax_number": "630-893-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR FAMILY DENTISTRY CHICAGO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WODNIAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT  DENTIST",
        "authorized_official_telephone_number": "630-893-8636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Elizabeth Arnold, FNP
• Samantha Aron
• Arthur I Davida MD PC
• Ashton Dental PC
• Asma Halim Inc.
• Sana Atcha, FNP-BC
• Athletic & Therapeutic Institute of Bourbonnais, LLC
• Athletico, LTD
• Erin J Austin, LCPC
• Teresa Kimberly Austin, D.P.T.

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, 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 Aug 22, 2020; 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.