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Dental Professionals of Illinois, P.C

NPI 1093399107ActiveOrganization· Dentist, General Practice· Darien, IL

Dentist, General Practice in Darien, Illinois, registered in NPPES in May 2021, part of Dental Professionals of Illinois, P.C. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.

Overview

NPI1093399107
StatusActive
Entity typeOrganization (subpart)
Parent organizationDental Professionals of Illinois, P.C.
NPI issuedMay 6, 2021
Last updated in NPPESMay 6, 2021
Certified by providerApr 7, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Darien

All 23 general dentists in Darien · All general dentists in Illinois