NPIMap

Organization Active NPI

Willowbrook Dentistry for Children, LLC

  • Dentist
  • Willowbrook, IL
National Provider Identifier
1649653213
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WILLOWBROOK DENTISTRY FOR CHILDREN, LLC
Practice address
7000 S Adams St Ste 111
Willowbrook, IL 60527-7565
Phone
(630) 570-0858
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Isaac Yue, DDS
Title
Owner
Phone
(630) 570-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7000 S Adams St Ste 111
Willowbrook, IL 60527-7565

Mailing address

7000 S Adams St Ste 111
Willowbrook, IL 60527-7565
Phone (630) 570-0858

National Provider Directory

National Provider Directory

Locations

7000 S Adams St
Ste 111
Willowbrook, IL 60527
Phone (630) 570-0858

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1649653213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 S ADAMS ST STE 111",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277565",
            "telephone_number": "630-570-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 S ADAMS ST STE 111",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277565",
            "telephone_number": "630-570-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK DENTISTRY FOR CHILDREN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "YUE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-570-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.