Organization Active NPI

Acdi Orland Park LLC

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1427224872
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.027793 Issued in IL
Legal business name
ACDI ORLAND PARK LLC
Practice address
9641 W 153Rd St
Suite #41
Orland Park, IL 60462-3775
Phone
(708) 873-9709
Fax
(708) 873-1388
NPI assigned
May 6, 2008
Last updated
Aug 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Mrs. Zuzana Vitkova
Title
Chief Financial Officer
Phone
(630) 586-9483

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019013583 IL
General Practice Dentistry 1223G0001X 019027311 IL
General Practice Dentistry 1223G0001X 019.027793 IL Primary

Addresses

Primary practice location

9641 W 153Rd St
Suite #41
Orland Park, IL 60462-3775

Mailing address

9641 W 153Rd St
Suite #41
Orland Park, IL 60462-3775
Phone (708) 873-9709

National Provider Directory

National Provider Directory

Locations

9641 W 153rd St
Ste 41
Orland Park, IL 60462
Phone (708) 226-0509

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1427224872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST",
            "address_2": "SUITE #41",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623775",
            "telephone_number": "708-873-9709",
            "fax_number": "708-873-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST",
            "address_2": "SUITE #41",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623775",
            "telephone_number": "708-873-9709",
            "fax_number": "708-873-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACDI ORLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "VITKOVA",
        "authorized_official_first_name": "ZUZANA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-586-9483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019013583",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027311",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.