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DR. MICHELE KAREN SACKHEIM DDS MSD
NPI 1093943417
Dentist - Periodontics in Bolingbrook, IL

Active since June 24, 2009Opted out of Medicare · through Apr 1, 2027
160 E BOUGHTON RD, BOLINGBROOK, IL 60440(630) 759-8940 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michele Karen Sackheim Dds Msd NPPES

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

DR. MICHELE KAREN SACKHEIM DDS MSD (NPI 1093943417) is an individual periodontics provider in Bolingbrook, Illinois, licensed in Illinois (021002075) and active in the NPI registry since June 2009. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1093943417
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHELE KAREN SACKHEIMCredential: DDS MSD
Location Address160 E BOUGHTON RDBolingbrook, IL 60440-2014
Mailing Address160 E Boughton RdBolingbrook, IL 60440-2014 · (630) 759-8940
Phone(630) 759-8940
Sole ProprietorNo
Enumeration DateJune 24, 2009
Last NPPES UpdateAugust 19, 2013
✔ NPI 1093943417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 021002075
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.
160 E BOUGHTON RD, Bolingbrook, IL 60440
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michele Karen Sackheim Dds Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

DR. MARITZA AIDEE PEREZ DDS
Dentist (General Practice)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL SPECIALTY LLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 410-1766
PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL LLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 410-1766
DR. TYSON L FRENZEL DDS
Dentist
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940

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 Michele Sackheim's NPI number?

The NPI number for Michele Sackheim is 1093943417. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Michele Sackheim located?

Michele Sackheim practices at 160 E Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 759-8940.

What is Michele Sackheim's specialty?

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

Is Michele Sackheim enrolled in Medicare?

No. Michele Sackheim has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michele Sackheim was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.