1. Home
  2. Directory
  3. Illinois
  4. Skokie
  5. Dentist
  6. NPI Profile

PERIODONTICS LTD.
NPI 1043344492
Dentist - Periodontics in Skokie, IL

Active since March 16, 2007
4711 GOLF RD STE 101, SKOKIE, IL 60076(847) 675-7555(847) 675-3734 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontics Ltd. NPPES

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

PERIODONTICS LTD. (NPI 1043344492) is a healthcare organization registered as a periodontics in Skokie, Illinois and active in the NPI registry since March 2007. The organization lists Stephen P Russo, Partner, as its authorized official.

NPPES Registry Identity

NPI1043344492
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTICS LTD.
Location Address4711 GOLF RD STE 101Skokie, IL 60076-1239
Mailing Address4711 Golf Rd Ste 101Skokie, IL 60076-1239 · (847) 675-7555 · Fax (847) 675-3734
Phone(847) 675-7555
Fax(847) 675-3734
Organization SubpartNo
Authorized OfficialStephen P RussoPartner · (847) 675-7555
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043344492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4711 GOLF RD STE 101, Skokie, IL 60076
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Periodontics Ltd.'s NPI number?

The NPI number for Periodontics Ltd. is 1043344492. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Periodontics Ltd. located?

Periodontics Ltd. is located at 4711 Golf Rd Ste 101, Skokie, IL 60076. The listed phone number is (847) 675-7555.

What is Periodontics Ltd.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontics Ltd. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.