Pro Dental Il - Chad Wise PC
NPI 1710714233ActiveOrganization· Dentist· Oak Park, IL
Dentist in Oak Park, Illinois, registered in NPPES in September 2024. The authorized official on file is Simone Wilson-Adeleke, MPA-PPA, Director Of Credentialing.
Overview
| NPI | 1710714233 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2024 |
| Last updated in NPPES | Sep 18, 2024 |
| Certified by provider | Sep 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Dentist, General Practice | 1223G0001X | — | — |
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 |
|---|
Other Dentist providers in Oak Park
- 1275943516
- 1992003933
- 1821462508
- 1558533778
- 1285732917
- 1861843518
- 1134258916
- 1831742733
- 1710085410
- 1184038358
- 1689752768
- 1659424018