Downersgrovectd LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DOWNERSGROVECTD LLC

Practice address

5145 Washington St
Downers Grove, IL 60515-4701

Phone

(630) 968-0098

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Mitch Weiland

Title

Assistant Controller

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Bice, DMD

  • Dentist
  • Downers Grove, IL
  • NPI 1528440310
  NPD (past)
• Richard Edward Patelski, DDS MAGD

  • Dentist
  • Downers Grove, IL
  • NPI 1417166968
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1760159917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900",
            "telephone_number": "608-343-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 WASHINGTON ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154701",
            "telephone_number": "630-968-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNERSGROVECTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downers Grove SNF Operations LLC
• Downers Grove Supportive Living LLC
• Downers Grove Surgery and Treatment Center P C
• Downers Grove Total Health SC
• Downersgrove Foot Specialists
• Christie L Downing, PT
• Doxazo Health Systems LLC
• Rebecca Doyle, LCSW
• Dr Brian Paul del Carlo Ms DDS PC
• Dr. William Seasly DDS

• Dentist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.