NPIMap

Organization Active NPI

Anna Pelak & Assoc

  • Dentist
  • Palatine, IL
National Provider Identifier
1457574568
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020825 Issued in IL
Legal business name
ANNA PELAK & ASSOC
Practice address
647 1St Bank Dr
Palatine, IL 60067
Phone
(847) 358-2477
Fax
(847) 358-9296
NPI assigned
Apr 10, 2007
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Anna M Pelak, DDSNPI 1740430420
Title
Ceo
Phone
(847) 358-2477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019020825 IL Primary

Addresses

Primary practice location

647 1St Bank Dr
Palatine, IL 60067

Mailing address

647 1St Bank Dr
Palatine, IL 60067
Phone (847) 358-2477

National Provider Directory

National Provider Directory

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1457574568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-358-2477",
            "fax_number": "847-358-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-358-2477",
            "fax_number": "847-358-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA PELAK & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PELAK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-358-2477",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.