WH Il Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WH IL DENTAL PLLC

Practice address

1715 N. Kilpatrick Ave
Chicago, IL 60639

Phone

(773) 687-6045

Fax

(773) 276-7570

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Shefali ShahNPI 1740621648

Title

Owner

Phone

(479) 258-2080

Specialties & licenses 1

Addresses

Other names 1

• Walmart Health Doing business as

Practitioners 1

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

• Shefali Bipin Shah, D.M.D.

  • Dentist
  • Rockford, IL
  • NPI 1740621648
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1881293801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST # MS 0445",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445",
            "telephone_number": "479-277-2500",
            "fax_number": "479-277-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N. KILPATRICK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639",
            "telephone_number": "773-687-6045",
            "fax_number": "773-276-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8410 S. Holland RD.",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60620",
            "country_code": "US",
            "telephone_number": "773-420-1276",
            "fax_number": "773-783-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WH IL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHEFALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-258-2080"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walmart Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walmart Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Weyenberg, D.O.
• Allison Weyer
• Samantha Weyman
• Austin James Weynand, MD, MHS
• Brian Weza, MA
• WH Il Medical PLLC
• WH Il Medical PLLC
• Amy Lea Whalen, MD
• Lindsey Katherine Whalen, M.D.
• Nicholas Michael Whalen, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.