Shruti Pore DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHRUTI PORE DMD PLLC

Practice address

800 S Milwaukee Ave Ste 111
Libertyville, IL 60048-3268

Phone

(847) 362-5511

NPI assigned

Sep 12, 2026

Organization subpart

No

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

Authorized official

Name

Shruti Pore, DMD

Title

Member

Phone

(847) 445-3907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1295646032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 111",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 111",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483268",
            "telephone_number": "847-362-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRUTI PORE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "PORE",
        "authorized_official_first_name": "SHRUTI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-445-3907",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yury M Shklyar, M.D.
• Michael Shoemake, PT
• Paul Frederick Showers, DDS MS
• Jacqueline Showes
• Sherry Lynn Shrallow, LCSW
• Amanda Shulkin
• Jamie Shute
• Galina Shvayetskaya, APRN
• Jenny M. Siddiqi, PSYD
• Lindsey Michael Siegel, PT, DPT

• 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 Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.