Active NPI
Carl Allen Wacker II, DMD
- Dentist
- Carol Stream, IL
National Provider Identifier
1720906704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019037298
- Practice address
- 503 Thornhill Dr Ste a
Carol Stream, IL 60188-2780 - Phone
- (630) 653-0020
- NPI assigned
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019037298 | IL | Primary |
Addresses
Primary practice location
503 Thornhill Dr Ste a
Carol Stream, IL 60188-2780
Mailing address
4320 Esquire Cir
Naperville, IL 60564-6159
Phone (248) 736-9924
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1720906704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 ESQUIRE CIR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605646159",
"telephone_number": "248-736-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 THORNHILL DR STE A",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882780",
"telephone_number": "630-653-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACKER",
"first_name": "CARL",
"middle_name": "ALLEN",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019037298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.