Madhuli Bhide, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033934 Issued in IL

Practice address

23 W Rollins Rd
Round Lake Beach, IL 60073-1350

Phone

(847) 740-4600

NPI assigned

Oct 5, 2022

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madhuli Bhave Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JNM Dental PC

  • Dentist
  • Round Lake Beach, IL
  • NPI 1568886265
  NPD (past)
• Swan Dental P.C.

  dba Avon Dental P.C.

  • Dentist
  • Round Lake Beach, IL
  • NPI 1588086946
  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1639894496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NOTTINGHAM LN APT 106H",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604354",
            "telephone_number": "920-939-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731350",
            "telephone_number": "847-740-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIDE",
        "first_name": "MADHULI",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHULI",
            "last_name": "BHAVE",
            "credential": "BDS, MDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alondra Bejarano
• Donna Marie Beltran, P.T.
• Bruce Chisholm Bennett, D.D.S.
• Anita Rani Bhardwaj, MD
• Paramita Bhattacharya, LCSW
• Nanci M Bowes, RPH
• Lucas J Brady, LMT
• Katelyn Breitenstein, FNP
• Shelley Brown, LCSW
• Suzanne Burdick

• General Practice Dentistry in Round Lake Beach, IL
• Providers in Round Lake Beach, 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 Oct 5, 2022; 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.