Organization Active NPI

West Chicago Dental Care, LTD

  • Dentist
  • West Chicago, IL
National Provider Identifier
1750591723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST CHICAGO DENTAL CARE, LTD
Practice address
166 W Washington St
West Chicago, IL 60185-2803
Phone
(630) 520-9030
Fax
(630) 520-9033
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph J Fornal, DDSNPI 1245244300
Title
Owener
Phone
(630) 520-9030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

166 W Washington St
West Chicago, IL 60185-2803

Mailing address

PO Box 1078
West Chicago, IL 60186-1078
Phone (630) 520-9030

National Provider Directory

National Provider Directory

Locations

166 W Washington St
West Chicago, IL 60185
Phone (630) 520-9030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750591723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601861078",
            "telephone_number": "630-520-9030",
            "fax_number": "630-520-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W WASHINGTON ST",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852803",
            "telephone_number": "630-520-9030",
            "fax_number": "630-520-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CHICAGO DENTAL CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORNAL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "630-520-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.