Organization Active NPI

F. Robert Wilkin D.D.S., LTD

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1417034935
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
01917750 Issued in IL
Legal business name
F. ROBERT WILKIN D.D.S., LTD
Practice address
4801 W Peterson Ave
614
Chicago, IL 60646-5713
Phone
(773) 769-6088
Fax
(773) 930-4867
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. F Robert Wilkin, D.D.S.
Title
President/Owner
Phone
(773) 769-6088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 01917750 IL Primary

Addresses

Primary practice location

4801 W Peterson Ave
614
Chicago, IL 60646-5713

Mailing address

4801 W Peterson Ave
614
Chicago, IL 60646-5713
Phone (773) 769-6088

National Provider Directory

National Provider Directory

Locations

4801 W Peterson Ave
Ste 614
Chicago, IL 60646
Phone (773) 769-6088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1417034935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE",
            "address_2": "614",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465713",
            "telephone_number": "773-769-6088",
            "fax_number": "773-930-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE",
            "address_2": "614",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465713",
            "telephone_number": "773-769-6088",
            "fax_number": "773-930-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. ROBERT WILKIN D.D.S., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "WILKIN",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-769-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "01917750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.