Individual provider Active NPI

Phillip Paul Sukel, DDS

  • General Practice Dentistry
  • Huntley, IL
National Provider Identifier
1801999891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
11952 Oak Creek Pkwy
Huntley, IL 60142-6728
Phone
(847) 659-8500
Fax
(847) 659-8585
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

11952 Oak Creek Pkwy
Huntley, IL 60142-6728

Mailing address

11952 Oak Creek Pkwy
Huntley, IL 60142-6728
Phone (847) 659-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 27, 2014 through May 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019013466ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801999891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11952 OAK CREEK PKWY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426728",
            "telephone_number": "847-659-8500",
            "fax_number": "847-659-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11952 OAK CREEK PKWY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426728",
            "telephone_number": "847-659-8500",
            "fax_number": "847-659-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKEL",
        "first_name": "PHILLIP",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.