Active NPI
Rolla Naim Kattoum, DMD
- General Practice Dentistry
- Crest Hill, IL
National Provider Identifier
1902739980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.037123
- Practice address
- 1701 N Larkin Ave Ste 504
Crest Hill, IL 60403-1894 - Phone
- (847) 532-5252
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.037123 | IL | Primary |
Addresses
Primary practice location
1701 N Larkin Ave Ste 504
Crest Hill, IL 60403-1894
Mailing address
1701 N Larkin Ave Ste 504
Crest Hill, IL 60403-1894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crest Hill Dental Studio | Current | Accepting new patients |
Locations
1701 N Larkin Ave
Ste 504
Crest Hill, IL 60403
Phone (708) 562-5100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Crest Hill, IL
- NPI 1447184304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1902739980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N LARKIN AVE STE 504",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604031894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N LARKIN AVE STE 504",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604031894",
"telephone_number": "847-532-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATTOUM",
"first_name": "ROLLA",
"middle_name": "NAIM",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.037123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crest Hill, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.