Richard Razdolsky DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RICHARD RAZDOLSKY DDS LLC

Practice address

3800 Willow Rd
Northbrook, IL 60062-6147

Phone

(224) 355-1118

NPI assigned

Jan 28, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Richard Razdolsky, DDS

Title

Owner

Phone

(847) 980-6570

Specialties & licenses 1

Addresses

Other names 1

• Smile Obsession Doing business as

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1487285482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BRAMPTON LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WILLOW RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626147",
            "telephone_number": "224-355-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD RAZDOLSKY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "RAZDOLSKY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-980-6570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Obsession",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silvija Rezo, NURSE PRACTITIONER
• Francine Christina Rhinehart, DPM
• Kathryn Ricaurte
• Ashley Rice
• Amber Rich, BCBA
• Jamie Richards
• Katherine Elizabeth Richardson
• Rick Tivers & Associates
• Ride X Taxi Inc.
• Brett Riederman, MD

• General Practice Dentistry in Northbrook, IL
• Providers in Northbrook, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.