Skokie Dental Professionals LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SKOKIE DENTAL PROFESSIONALS LLC

Practice address

4709 Golf Rd Ste 809
Skokie, IL 60076-1258

Phone

(847) 675-2100

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Mitch Weiland

Title

Assistant Controller

Phone

(608) 343-0818

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.

• Mark J. Landau, D.D.S.

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1194961185
  NPD (past)

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1841957487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900",
            "telephone_number": "608-343-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 809",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761258",
            "telephone_number": "847-675-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKIE DENTAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Isabelle Sipes, OTD, OTR/L
• Grace Sit, RPH
• Eva Skaff
• Skokie Chiro Plus Inc
• Skokie Chiropractic & Sports Injury Center
• Skokie Elementary Dist 68
• Skokie Elementary Dist 69
• Skokie Emergency Services, LLC
• Skokie Fairview Elem Dist 72
• Skokie Family Clinic P.C.

• Dentist in Skokie, IL
• Providers in Skokie, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.