Icon Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ICON DENTAL PLLC

Practice address

282 McHenry Rd
Wheeling, IL 60090-3202

Phone

(224) 532-5380

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Anna Corinna Lim, DMDNPI 1750864013

Title

Member

Phone

(808) 308-1968

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.

• Anna Corinna Corinna Lim, DMD

  • Dentist
  • Chicago, IL
  • NPI 1750864013

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1386410397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W DUNDEE RD #641",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "808-308-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MCHENRY RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903202",
            "telephone_number": "224-532-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "ANNA CORINNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-308-1968",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Wheeling, IL
• Providers in Wheeling, 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 Nov 30, 2023; 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.