Hanover Park Dental Clinic, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HANOVER PARK DENTAL CLINIC, LLC

Practice address

1098 E Lake St
Hanover Park, IL 60133-5431

Phone

(630) 483-7001

Fax

(630) 483-7041

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shirali M PatelNPI 1427047489

Title

Member

Phone

(630) 483-7001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shirali Minesh Patel, DDS

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1427047489
  NPD (past) Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1841464617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 E LAKE ST",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335431",
            "telephone_number": "630-483-7001",
            "fax_number": "630-483-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 E LAKE ST",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335431",
            "telephone_number": "630-483-7001",
            "fax_number": "630-483-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER PARK DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHIRALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-483-7001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genie Cynthia Guerra
• David M Gursky, PH D
• Elena D Hain, B.A.
• Susanne Michele Hall, P.T.
• Hanover Dental PC
• Hanover Park Physical Medicine & Rehabilitation LTD
• Hanover Pharmacy, LLC.
• Hanover Smile Dental P.C.
• Kathleen Marie Hansen, DDS
• Hansen&Hansen DDS LDT

• General Practice Dentistry in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.