Premier Dentistry at Millennium Park LLC
NPI 1104541622ActiveOrganization· Dentist, Prosthodontics· Chicago, IL
Dentist, Prosthodontics in Chicago, Illinois, registered in NPPES in October 2022. The authorized official on file is Nechama Brand, Partner.
Overview
| NPI | 1104541622 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2022 |
| Last updated in NPPES | Oct 6, 2022 |
| Certified by provider | Oct 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | — | — |
| Dentist | 122300000X | — | — |
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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