Suburban Periodontal Associates Limited
NPI 1578680765ActiveOrganization· Dentist, Periodontics· Oak Brook, IL
Dentist, Periodontics in Oak Brook, Illinois, registered in NPPES in March 2007. The authorized official on file is Gina D. Gruendeman, DDS, President.
Overview
| NPI | 1578680765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Nov 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 021601479 | 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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