BOYS & GIRLS CLUB OF CHICAGO - ROBERT R. MCCORMICK BOYS & GIRLS CLUB
NPI 1417134131
Dentist - Pediatric Dentistry in Chicago, IL

Q: What is Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club's specialty?

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

Active since January 24, 2008

4835 N SHERIDAN RD, CHICAGO, IL 60640(773) 271-8400(773) 271-2425 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club NPPES

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

BOYS & GIRLS CLUB OF CHICAGO - ROBERT R. MCCORMICK BOYS & GIRLS CLUB (NPI 1417134131) is a healthcare organization registered as a pediatric dentistry in Chicago, Illinois and active in the NPI registry since January 2008. The organization lists George Colone, Club Director, as its authorized official.

NPPES Registry Identity

NPI1417134131

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameBOYS & GIRLS CLUB OF CHICAGO - ROBERT R. MCCORMICK BOYS & GIRLS CLUB

Location Address4835 N SHERIDAN RDChicago, IL 60640-3718

Mailing Address4835 N Sheridan RdChicago, IL 60640-3718 · (773) 271-8400 · Fax (773) 271-2425

Phone(773) 271-8400

Fax(773) 271-2425

Organization SubpartNo

Authorized OfficialGeorge ColoneClub Director · (773) 271-8400

Enumeration DateJanuary 24, 2008

✔ NPI 1417134131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

4835 N SHERIDAN RD, Chicago, IL 60640

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 Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club's NPI number?

The NPI number for Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club is 1417134131. It was assigned to this organization in the NPPES registry on January 24, 2008.

Where is Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club located?

Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club is located at 4835 N Sheridan Rd, Chicago, IL 60640. The listed phone number is (773) 271-8400.

What is Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club'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 Boys & Girls Club Of Chicago - Robert R. Mccormick Boys & Girls Club was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.