Organization Active NPI

Crest Hill Dental Studio

  • Dental Clinic/Center
  • Crest Hill, IL
National Provider Identifier
1447184304
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CREST HILL DENTAL STUDIO
Practice address
1701 N Larkin Ave Ste 504
Crest Hill, IL 60403-1894
Phone
(847) 532-5252
NPI assigned
Jun 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dr. Rolla Kattoum, DMDNPI 1902739980
Title
Owner
Phone
(224) 244-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1701 N Larkin Ave Ste 504
Crest Hill, IL 60403-1894

Mailing address

1701 N Larkin Ave Ste 504
Crest Hill, IL 60403-1894

National Provider Directory

National Provider Directory

Locations

1701 N Larkin Ave
Ste 504
Crest Hill, IL 60403
Phone (708) 562-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1447184304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N LARKIN AVE STE 504",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N LARKIN AVE STE 504",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031894",
            "telephone_number": "847-532-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST HILL DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "KATTOUM",
        "authorized_official_first_name": "ROLLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-244-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.