Sayali Bhatwadekar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.28298 Issued in IL

Practice address

755 S Milwaukee Ave Ste 230
Libertyville, IL 60048-3266

Phone

(847) 362-3250

NPI assigned

Jun 1, 2010

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panacea Dental P.C.

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1841903879
  NPD Authorized official
• Hanover Dental PC

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1811228166
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1265751291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 EASTHAVEN DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE STE 230",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483266",
            "telephone_number": "847-362-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATWADEKAR",
        "first_name": "SAYALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028298",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.28298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Bernstein, DPM
• Anthony Bertram, LCSW CADC CODP
• Jeson Bhagatsingh, NP
• Rahul Kumar Bhardwaj, M.D.
• Bhumi Bhatt, MS/OTR
• Kalpana Puppala Bicknell, M.D.
• Sophia Bilikovsky, DACM
• Emma Billy
• Bradley Binder
• Jonathan Birnberg, MD

• General Practice Dentistry in Libertyville, IL
• Providers in Libertyville, 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 Jan 4, 2023; 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.