Active NPI
Eugene F Ingles IV, DDS
- General Practice Dentistry
- Libertyville, IL
National Provider Identifier
1609890201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-021130
- Practice address
- 915 N Milwaukee Ave
Suite B
Libertyville, IL 60048-1973 - Phone
- (847) 362-9700
- Fax
- (847) 362-9797
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-021130 | IL | Primary |
Addresses
Primary practice location
915 N Milwaukee Ave
Suite B
Libertyville, IL 60048-1973
Mailing address
915 N Milwaukee Ave
Suite B
Libertyville, IL 60048-1973
Phone (847) 362-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-021130 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609890201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N MILWAUKEE AVE",
"address_2": "SUITE B",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481973",
"telephone_number": "847-362-9700",
"fax_number": "847-362-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N MILWAUKEE AVE",
"address_2": "SUITE B",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481973",
"telephone_number": "847-362-9700",
"fax_number": "847-362-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLES",
"first_name": "EUGENE",
"middle_name": "F",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-021130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
- Illinois Internal Medicine LTD
- Illinois Pain Treatment Institute, LTD
- Sun Ja Im, R.PH
- Infectious Disease Consultants of Northern Illinois S.C.
- Barbara Inga, CRNA
- Lori L Inman, OTR
- Marzena M Inman, DPT
- Integrated Home Healthcare Services, Corp
- Integrated Palliative and Hospice LLC
- Integrative Psychological Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.