Crystal Lake Pediatric Dental Ltd.
NPI 1043311681ActiveOrganization· Dentist, Pediatric Dentistry· Crystal Lake, IL
Dentist, Pediatric Dentistry in Crystal Lake, Illinois, registered in NPPES in September 2006. The authorized official on file is Anthony Louis Minutillo, DDS,MSD, President.
Overview
| NPI | 1043311681 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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