Dental Professionals of Illinois, P.C.
Organization Active NPI General Practice Dentistry · Minooka, IL
NPI 1821731464 · NPPES record last updated Apr 20, 2022
Key facts
- NPI
- 1821731464
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- DENTAL PROFESSIONALS OF ILLINOIS, P.C.
- Practice address
- 515 US Highway 6
Minooka, IL 60447-8814 - Phone
- (815) 620-0889
- NPI assigned
- Apr 20, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
- Name
- Celia Hayes
- Title
- Credentialing Coordinator
- Phone
- (217) 540-2100
Corporate family (same tax ID) 23
Practitioners 2
-
Rohail Isaac Bhurgri, DMD
-
Jumana Quafisheh, DMD
National Provider Directory
- Tax ID family
- Dental Professionals of Illinois PC
- Part of
- Dental Professionals of Illinois PC
Locations
515 US Highway 6
Minooka, IL 60447
Phone (815) 620-0889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
515 US Highway 6
Minooka, IL 60447-8814
Mailing address
515 US Highway 6
Minooka, IL 60447-8814
Phone (815) 620-0889
Other names
- Dental Care of Minooka
Other providers in Minooka, IL
- Zachary Clark
- Cody Corradino
- Daryl L Condon,OD,PC
- Demask Family Medical S.C.
- John Demask
- Dr M Estilo Pain Management LLC
- Lester Duldulao
- Roxanne Marie Dyers
- Lorisa Marie Eby
- Maria Estilo
All providers in Minooka, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.