Mark a. Ligocki, DDS, PC.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019021841 Issued in IL

Legal business name

MARK A. LIGOCKI, DDS, PC.

Practice address

1S224 Summit Ave Ste 104
Oakbrook Terrace, IL 60181-3938

Phone

(630) 620-8099

Fax

(630) 620-8474

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Ligocki, DDS

Title

President

Phone

(630) 620-8099

Specialties & licenses 1

Addresses

Other names 1

• Ligocki Dental Group Doing business as

Locations

Practitioners 2

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

• Lauryn Nicole Ligocki, DDS

  • General Practice Dentistry
  • Oakbrook Terrace, IL
  • NPI 1689298424
  NPD
• Susan J Sup, DDS

  • Dentist
  • Grantsburg, WI
  • NPI 1093857799
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1457770893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE STE 104",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813938",
            "telephone_number": "630-620-8099",
            "fax_number": "630-620-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE STE 104",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813938",
            "telephone_number": "630-620-8099",
            "fax_number": "630-620-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. LIGOCKI, DDS, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "LIGOCKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-620-8099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019021841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ligocki Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ligocki Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fatima Zahra Malik
• Mall Pharmacy, Inc
• George A Mandelaris, DDS
• Stewart R Mann, M.D.
• Samantha Marek, CP
• Maria Marrero, APN
• Rachel Marie Marshall, DOT, OTR/L
• Daniel Kristoffer Martin, LMT
• Romana Maryem
• Candace Mathers, N.D.

• All providers in Oakbrook Terrace, IL
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.