Evanston Periodontics, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

EVANSTON PERIODONTICS, LLC

Practice address

636 Church St
Suite # 722
Evanston, IL 60201-4508

Phone

(847) 475-7754

Fax

(847) 475-4725

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roger Albert Nouneh, DMD; MSNPI 1447248877

Title

Managing Member

Phone

(312) 927-8882

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Roger Nouneh, DMD. MS.MBA

  • Periodontics
  • Chicago, IL
  • NPI 1447248877
  NPD Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1669499505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE # 722",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "847-475-7754",
            "fax_number": "847-475-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE # 722",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "847-475-7754",
            "fax_number": "847-475-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON PERIODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "NOUNEH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "312-927-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD; MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Evanston Podiatric Surgeons PC
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• Evanston Premier Healthcare Research LLC
• Evanston Relational Psychotherapy PLLC
• Evanston Skilled Nursing Facility LLC

• Periodontics in Evanston, IL
• Providers in Evanston, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.