Periodonitcs of Elgin, LTD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21000876 Issued in IL

Legal business name

PERIODONITCS OF ELGIN, LTD

Practice address

2000 Larkin Ave Ste 306
Elgin, IL 60123-5880

Phone

(847) 697-4646

Fax

(847) 697-8364

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frank A Maggio, DDSNPI 1689837585

Title

President

Phone

(847) 697-4646

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, and the practitioner matching its NPPES authorized official.

• Frank A Maggio

  • Periodontics
  • Elgin, IL
  • NPI 1689837585
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326062951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE STE 306",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235880",
            "telephone_number": "847-697-4646",
            "fax_number": "847-697-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE STE 306",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235880",
            "telephone_number": "847-697-4646",
            "fax_number": "847-697-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONITCS OF ELGIN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGGIO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-697-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "21000876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Perez
• Nadia I Perez
• Pablo Ermelo G Perez, MD
• Samuel Perez
• Rebecca Perfect
• Tanya Maria Perkins
• Anna Perkowski, LCSW
• Michael Perlin, MD
• Steven Michael Perri, PA-C
• Courtney Perrin

• Periodontics in Elgin, IL
• Providers in Elgin, IL by specialty
• Periodontics 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.