Artisan Dental Group of Illinois LLC
NPI 1619412087ActiveOrganization· Dentist, General Practice· Palatine, IL
Dentist, General Practice in Palatine, Illinois, registered in NPPES in December 2016. The authorized official on file is Donna Maddalozzo, DDS, M.S., President/Co-Owner.
Overview
| NPI | 1619412087 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2016 |
| Last updated in NPPES | Dec 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019019847 | IL |
| Dentist, General Practice | 1223G0001X | 019019961 | IL |
| Dentist, General Practice | 1223G0001X | 019021223 | IL |
| Dentist, Periodontics | 1223P0300X | 021001430 | IL |
| Dentist, Periodontics | 1223P0300X | 021001354 | IL |
| Dentist, Periodontics | 1223P0300X | 021001510 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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