MOKENA CROSSINGS FAMILY DENTAL
NPI 1043609167
Dentist - General Practice in Mokena, IL

Q: What is Dental Professionals Of Illinois, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 13, 2015

9990 W 190TH ST, SUITE D, MOKENA, IL 60448(708) 479-9797(708) 478-4571 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mokena Crossings Family Dental NPPES

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

MOKENA CROSSINGS FAMILY DENTAL (NPI 1043609167) is a healthcare organization registered as a general practice in Mokena, Illinois and active in the NPI registry since January 2015. The organization lists Kim Wilson, Cred Superivosr, as its authorized official.

NPPES Registry Identity

NPI1043609167

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF ILLINOIS, P.C.

Location Address9990 W 190TH ST, SUITE DMokena, IL 60448-8188

Mailing Address9990 W 190th St, Suite DMokena, IL 60448-8188 · (708) 479-9797 · Fax (708) 478-4571

Phone(708) 479-9797

Fax(708) 478-4571

Organization SubpartYes

Authorized OfficialKim WilsonCred Superivosr · (217) 540-5170

Enumeration DateJanuary 13, 2015

✔ NPI 1043609167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9990 W 190TH ST, Mokena, IL 60448

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Other Names 1

Doing Business AsMokena Crossings Family Dental

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 Dental Professionals Of Illinois, P.C.'s NPI number?

The NPI number for Dental Professionals Of Illinois, P.C. is 1043609167. It was assigned to this organization in the NPPES registry on January 13, 2015. The provider is doing business as Mokena Crossings Family Dental.

Where is Dental Professionals Of Illinois, P.C. located?

Dental Professionals Of Illinois, P.C. is located at 9990 W 190th St Suite D, Mokena, IL 60448. The listed phone number is (708) 479-9797.

What is Dental Professionals Of Illinois, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Illinois, P.C. was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.