Evanston Periodontics, Llc

LBN: Evanston Periodontics, Llc
Evanston Periodontics, Llc is an health care organization with primary practice located at 636 Church St Suite # 722, Evanston IL 60201-4508. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Evanston Periodontics, Llc can be contacted via phone (847) 475-7754, or through Nouneh, Roger Albert via phone (312) 927-8882.

Contact Information

Primary practice address
636 Church St Suite # 722 Evanston IL 60201-4508
Phone: (847) 475-7754
Fax: (847) 475-4725
Website:
Map and Directions
Authorized official contact:
Name: Nouneh, Roger Albert DMD; MS
Phone: (312) 927-8882

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X Illinois

Profile Details

NPI number 1669499505
LBN Legal business name Evanston Periodontics, Llc
DBA Doing business as
Authorized official Nouneh, Roger Albert DMD; MS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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