Active NPI
Prathi H Jain
- Dentist
- Hawthorn Woods, IL
National Provider Identifier
1720549660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019035566
- Practice address
- 103 Roman Lane
Hawthorn Woods, IL 60047 - Phone
- (224) 438-0020
- NPI assigned
- Mar 25, 2019
- Last updated
- Feb 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019035566 | IL | MD | Dentist |
| 1002133 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jasinski, D.M.D., P.C. | General Practice | Past | 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.
-
- General Practice Dentistry
- Hawthorn Woods, IL
- NPI 1902763683
-
dba Sardis Dental Care
- General Practice Dentistry
- Charlotte, NC
- NPI 1043977796
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.