Ilana Birg, D.D.S.
Individual provider Active NPI Dentist · Northfield, IL
NPI 1437334307 · NPPES record last updated Jan 9, 2008
Key facts
- NPI
- 1437334307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019-023406 (IL)
- Practice address
- 281 Waukegan Rd
Northfield, IL 60093-2718 - Phone
- (847) 446-7200
- Fax
- (847) 446-7292
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-023406 | IL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-023406 | IL | Yes |
Addresses
Primary practice location
281 Waukegan Rd
Northfield, IL 60093-2718
Mailing address
281 Waukegan Rd
Northfield, IL 60093-2718
Phone (847) 446-7200
Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.