Midwest Endodontics Associates

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

019-026513 Issued in IL

Legal business name

MIDWEST ENDODONTICS ASSOCIATES

Practice address

17W662 Butterfield Rd
Suite 208
Oakbrook Terrace, IL 60181-4098

Phone

(630) 953-0030

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Cindi D Edwards

Title

Practice Administrator

Phone

(630) 424-9404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1700189198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W662 BUTTERFIELD RD",
            "address_2": "SUITE 208",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814098",
            "telephone_number": "630-953-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W662 BUTTERFIELD RD",
            "address_2": "SUITE 208",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814098",
            "telephone_number": "630-953-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ENDODONTICS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CINDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-424-9404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "019-026513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.