Old Orchard Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

OLD ORCHARD ENDODONTICS

Practice address

4905 Old Orchard Ctr Ste 216
Skokie, IL 60077-4741

Phone

(219) 741-3937

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Jill Young, DMDNPI 1225373996

Title

Owner/Endodontist

Phone

(219) 741-3936

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jill Ilana Young, D.M.D

  • Endodontics
  • Skokie, IL
  • NPI 1225373996
  NPD (past) Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1770126740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 N WOOD ST UNIT 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223250",
            "telephone_number": "219-741-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 216",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774741",
            "telephone_number": "219-741-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4905 Old Orchard Ctr Ste 216",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600774741",
            "country_code": "US",
            "telephone_number": "219-741-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLD ORCHARD ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "219-741-3936",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Okamura, MA
• Busala Oke, MD
• Jodi Novick Okner, LCSW
• Makanjuola Olabiyi
• Old Orchard Dental Group P.C.
• Old Orchard Health Medical and Rehab Ctr LTD
• Old Orchard Obstetrics&Gynecology, S.C.
• Old Orchard Periodontics & Implant Dentistry LTD
• Lisa Oldson, M.D.
• Margaret M Oleary, DPT

• Endodontics in Skokie, IL
• Providers in Skokie, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.