Robert Madrigal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019032635 Issued in IL

Practice address

344 Linden Ave
Wilmette, IL 60091-2843

Phone

(847) 251-0085

NPI assigned

May 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Wilmette Dental, LTD.

  • Dental Clinic/Center
  • Wilmette, IL
  • NPI 1588825954
  NPD (past)

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1326669078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912843",
            "telephone_number": "847-251-0085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Parkway North Blvd Apt 245",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600152573",
            "country_code": "US",
            "telephone_number": "630-777-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "122300000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "123456789",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Luglio, PH.D.
• Kathleen Lynch
• Lynn E. Nelson, Psy.D., P.C.
• Laurie B. Maalul, OTR/L
• Denise Lynn Mackenzie, RPH
• Joan Madsen, LPC
• Miyeita Giselle Magee, NP
• Jonathan H Maks, MD
• Marissa Mallinckrodt, NP
• Megan Malyszek

• Dentist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.