Elgin Dental Profile LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELGIN DENTAL PROFILE LTD.

Practice address

373 Summit St
Ste 108
Elgin, IL 60120-3733

Phone

(847) 888-9000

Fax

(847) 888-9321

NPI assigned

Mar 17, 2008

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Milan Roncevic

Title

General Manager

Phone

(630) 516-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1932370111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SUMMIT ST",
            "address_2": "STE 108",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203733",
            "telephone_number": "847-888-9000",
            "fax_number": "847-888-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SUMMIT ST",
            "address_2": "STE 108",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203733",
            "telephone_number": "847-888-9000",
            "fax_number": "847-888-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN DENTAL PROFILE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RONCEVIC",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "630-516-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elgin Care Center SC
• Elgin Center Pharmacy Inc (Elgin Center Pharmacy)
• Elgin Charter School Initiative LLC (Elgin Math and Science Academy)
• Elgin Dental Associates
• Elgin Dental Care, LLC
• Elgin Endocrinology
• Elgin Eye Care
• Elgin Family Eye Care LLC
• Elgin Family Physicians, SC
• Elgin Foot & Ankle Center, S.C.

• General Practice Dentistry in Elgin, IL
• Providers in Elgin, 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 Mar 17, 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.