Organization Active NPI

Generalhealthgroup of Illinois

Doing business as Dental Associates of Palos Park

  • Dental Clinic/Center
  • Palos Park, IL
National Provider Identifier
1801531231
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GENERALHEALTHGROUP OF ILLINOIS
Doing business as
Dental Associates of Palos Park
Practice address
11900 Southwest Hwy Ste 204
Palos Park, IL 60464-1307
Phone
(708) 448-5800
NPI assigned
Apr 30, 2022
Organization subpart
Yes
Parent organization
GENERALHEALTH GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Christopher Isabelle, DMD
Title
Dental Associate
Phone
(708) 415-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11900 Southwest Hwy Ste 204
Palos Park, IL 60464-1307

Mailing address

244 5TH Ave # L270
New York, NY 10001-7604
Phone (917) 789-5058

Other identifiers 1

IdentifierTypeStateIssuer
1649654898OtherILNPI

Other names 1

  • Dental Associates of Palos Park Doing business as

National Provider Directory

National Provider Directory

Locations

222 N Plum Grove Rd
Lowr
Palatine, IL 60067
Phone (847) 358-9000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1801531231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 5TH AVE # L270",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "917-789-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SOUTHWEST HWY STE 204",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641307",
            "telephone_number": "708-448-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERALHEALTHGROUP OF ILLINOIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERALHEALTH GROUP INC",
        "enumeration_date": "2022-04-30",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "ISABELLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTAL ASSOCIATE",
        "authorized_official_telephone_number": "708-415-6507",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649654898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates of Palos Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.