Richard a Ewald and William L Wrobel DDS LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RICHARD A EWALD AND WILLIAM L WROBEL DDS LTD

Practice address

1704 Polaris Cir
Ottawa, IL 61350-1773

Phone

(815) 434-6447

NPI assigned

Nov 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Wrobel, D.D.S.

Title

Vice President

Phone

(815) 434-6447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598839946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 POLARIS CIR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501773",
            "telephone_number": "815-434-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 POLARIS CIR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501773",
            "telephone_number": "815-434-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A EWALD AND WILLIAM L WROBEL DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WROBEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "815-434-6447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Frances Reithal-Makeever, M.S., CCC-SLP
• Glady Reyes, OTRL
• Rezin Orthopedic and Sports Medicine, SC (Vital Care Physical Therapy)
• Rezin Orthopedic and Sports Medicine, SC
• Rezin Orthopedics and Sports Medicine, SC
• Julia Rae Richards, M.S.,CCC-SLP/L
• Natasha Rinaldi, LCSW
• Kaitlyn Rinke, LCPC
• George M Rivera Jr., PTA
• Emily Nicole Roach

• Dental Clinic/Center in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.