Jordan Simonovich, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021003369 Issued in IL

Practice address

120 Oakbrook Ctr Ste 714
Oak Brook, IL 60523-1831

Phone

(815) 979-4143

NPI assigned

Jun 19, 2014

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Silver Glen Family Dental

  dba Thornwood Family Dental

  • General Practice Dentistry
  • South Elgin, IL
  • NPI 1134685803
  Authorized official Same address or phone

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1366856163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR STE 714",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR STE 714",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231831",
            "telephone_number": "815-979-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONOVICH",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021003369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvind Shukla, M.B.B.S.
• Ravi Shukla, O.D.
• Jeffery Siddall
• Pamela A Signorella, L AC
• Omayra Silva, APN
• Shawn Singh, DC
• George Edward Sippel
• Michelle Toledo Sison
• Lily Skawski, RBT
• Karen S Skerrett, PHD

• Endodontics in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.