Mundelein Dental Clinic LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MUNDELEIN DENTAL CLINIC LLC

Practice address

3074 W Il Route 60
Mundelein, IL 60060-4270

Phone

(847) 970-7070

NPI assigned

Dec 19, 2017

Last updated

Jan 22, 2026By 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

Ivana Bueno

Title

Director of Corporate Operations

Phone

(773) 798-9382

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1336655950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 W IL ROUTE 60",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604270",
            "telephone_number": "847-970-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 W IL ROUTE 60",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604270",
            "telephone_number": "847-970-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDELEIN DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "IVANA",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE OPERATIONS",
        "authorized_official_telephone_number": "773-798-9382"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Mugerditchian, MSW, PEL
• Heather Mullen-Gaschler
• Mundelein Chiropractic Decompression Center Service Corporation (Mundelein Chiropractic Decompression Center)
• Mundelein Consol HS Dist 120
• Mundelein Dental Center
• Mundelein Esd 75
• Mundelein Family Dental LLC
• Georgette Hanna Murad, PHARMD
• Nadiya Sobolev DDS
• Jill K Nailor, RPH

• General Practice Dentistry in Mundelein, IL
• Providers in Mundelein, 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 22, 2026; 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.