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DR. JERRY UDELSON DDS
NPI 1013134154
Dentist - Pediatric Dentistry in Forest Park, IL

Active since April 19, 2007
1125 HARLEM AVE, FOREST PARK, IL 60130(708) 386-5437(708) 771-5439 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Aug 7, 2020 (2 updates tracked since 2020).

About Dr. Jerry Udelson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY UDELSON DDS (NPI 1013134154) is an individual pediatric dentistry provider in Forest Park, Illinois, licensed in Illinois (021-001495) and active in the NPI registry since April 2007. He maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1013134154
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JERRY UDELSONCredential: DDS
Location Address1125 HARLEM AVEForest Park, IL 60130-2337
Mailing Address1125 Harlem AveForest Park, IL 60130-2337 · (708) 386-5437 · Fax (708) 771-5439
Phone(708) 386-5437
Fax(708) 771-5439
Sole ProprietorYes
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1013134154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021-001495
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1125 HARLEM AVE, Forest Park, IL 60130
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Secondary Practice Location 1

Location 1323 N York StElmhurst, IL 60126-2319 · Phone (630) 833-1166 · Fax (630) 833-1103

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARA CHO D.M.D.
Dentist (Pediatric Dentistry)
1125 HARLEM AVE
FOREST PARK, IL 60130
Cook County (708) 386-5437
JERRY E UDELSON, DDS, PC
Dentist (Pediatric Dentistry)
1125 HARLEM AVE
FOREST PARK, IL 60130
Cook County (708) 386-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Udelson's NPI number?

The NPI number for Jerry Udelson is 1013134154. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Jerry Udelson located?

Jerry Udelson practices at 1125 Harlem Ave, Forest Park, IL 60130. The listed phone number is (708) 386-5437.

What is Jerry Udelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jerry Udelson was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.