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PERIODONTICS LTD.
NPI 1336219856
Dentist - Periodontics in Chicago, IL

Active since November 09, 2006
111 N WABASH AVE STE 919, CHICAGO, IL 60602(312) 641-2572(312) 641-6621 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Periodontics Ltd. NPPES

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

PERIODONTICS LTD. (NPI 1336219856) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since November 2006. The organization lists Stephen P Russo, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1336219856
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTICS LTD.
Location Address111 N WABASH AVE STE 919Chicago, IL 60602-1932
Mailing Address111 N Wabash Ave Ste 919Chicago, IL 60602-1932 · (312) 641-2572 · Fax (312) 641-6621
Phone(312) 641-2572
Fax(312) 641-6621
Organization SubpartNo
Authorized OfficialStephen P RussoPeriodontist · (312) 641-2572
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336219856 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.

111 N WABASH AVE STE 919, Chicago, IL 60602
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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

Other Providers at the Same Location NPPES 3

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

DR. DOUGLAS V GORIN DDS
Dentist (Periodontics)
111 N WABASH AVE STE 919
CHICAGO, IL 60602
Cook County (312) 641-2575
DR. MARK A ROSEN DDS
Dentist (Periodontics)
111 N WABASH AVE STE 919
CHICAGO, IL 60602
Cook County (312) 641-2572
DR. RICHARD F MARINELLO DDS
Dentist (Periodontics)
111 N WABASH AVE STE 919
CHICAGO, IL 60602
Cook County (312) 641-2572

Frequently Asked Questions

What is PERIODONTICS LTD.'s NPI number?

The NPI number assigned to this healthcare provider is 1336219856, enumerated as an "organization" on November 09, 2006.

Where is the provider located?

The provider is located at 111 N WABASH AVE STE 919 CHICAGO, IL 60602 and the phone number is (312) 641-2572.

What is the provider's specialty?

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.