Active NPI
Generalhealthgroup of Illinois
Doing business as Dental Associates of Palos Park
- Dental Clinic/Center
- Palos Park, IL
National Provider Identifier
1801531231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649654898 | Other | IL | NPI |
Other names 1
- Dental Associates of Palos Park
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Palatine, IL
- NPI 1831871532
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.