Individual provider Active NPI

Lucille Kristen Varga, DMD

  • Dentist
  • Lakemoor, IL
National Provider Identifier
1346126745
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019036284 Issued in IL
Practice address
28956 Rand Rd
Lakemoor, IL 60051-2215
Phone
(815) 363-8888
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019036284 IL Primary

Addresses

Primary practice location

28956 Rand Rd
Lakemoor, IL 60051-2215

Mailing address

2100 Telegraph Rd
Bannockburn, IL 60015-1532
Phone (773) 383-0120

Other practice location 1

7366 N Lincoln Ave Ste 103
Lincolnwood, IL 60712-1738
Phone (847) 679-7651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019036284ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakemoor Dental Dentist PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1346126745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 TELEGRAPH RD",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151532",
            "telephone_number": "773-383-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28956 RAND RD",
            "city": "LAKEMOOR",
            "state": "IL",
            "postal_code": "600512215",
            "telephone_number": "815-363-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7366 N Lincoln Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607121738",
            "country_code": "US",
            "telephone_number": "847-679-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGA",
        "first_name": "LUCILLE",
        "middle_name": "KRISTEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019036284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakemoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.