Individual provider Active NPI

Prathi H Jain

  • Dentist
  • Hawthorn Woods, IL
National Provider Identifier
1720549660
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019035566 Issued in IL
Practice address
103 Roman Lane
Hawthorn Woods, IL 60047
Phone
(224) 438-0020
NPI assigned
Mar 25, 2019
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019035566 IL Primary
General Practice Dentistry 1223G0001X 1002133 WI

Addresses

Primary practice location

103 Roman Lane
Hawthorn Woods, IL 60047

Mailing address

216 N Middleton Ave
Palatine, IL 60067-4856
Phone (847) 660-4810

Other practice location 1

11711 W Burleigh St
Wauwatosa, WI 53222-3108
Phone (414) 771-2345

Other practice location 2

1710 Sardis Rd N
Charlotte, NC 28270-2405
Phone (980) 201-5889

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019035566ILMDDentist
1002133WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
K. Jasinski, D.M.D., P.C. General Practice PastSince Nov 21, 2021 Accepting new patients
Dental Professionals of Illinois, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1720549660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N MIDDLETON AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600674856",
            "telephone_number": "847-660-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROMAN LANE",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "224-438-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11711 W Burleigh St",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532223108",
            "country_code": "US",
            "telephone_number": "414-771-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Sardis Rd N",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282702405",
            "country_code": "US",
            "telephone_number": "980-201-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "PRATHI",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019035566",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorn Woods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.