SUBURBAN PERIODONTAL ASSOCIATES LIMITED
NPI 1578680765
Dentist - Periodontics in Oak Brook, IL

Q: What is Suburban Periodontal Associates Limited's specialty?

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

Active since March 23, 2007

120 OAKBROOK CENTER, SUITE 600, OAK BROOK, IL 60523(630) 368-0605(630) 368-9616 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Suburban Periodontal Associates Limited NPPES

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

SUBURBAN PERIODONTAL ASSOCIATES LIMITED (NPI 1578680765) is a healthcare organization registered as a periodontics in Oak Brook, Illinois and active in the NPI registry since March 2007. The organization lists Gina D Gruendeman, President, as its authorized official.

NPPES Registry Identity

NPI1578680765

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameSUBURBAN PERIODONTAL ASSOCIATES LIMITED

Location Address120 OAKBROOK CENTER, SUITE 600Oak Brook, IL 60523

Mailing Address120 Oakbrook Center, Suite 600Oak Brook, IL 60523 · (630) 368-0605 · Fax (630) 368-9616

Phone(630) 368-0605

Fax(630) 368-9616

Organization SubpartNo

Authorized OfficialGina D GruendemanPresident · (630) 368-0605

Enumeration DateMarch 23, 2007

Last NPPES UpdateNovember 10, 2015

✔ NPI 1578680765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IL · 021601479

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.

120 OAKBROOK CENTER, Oak Brook, IL 60523

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MICHELLE N CRUITT HID

Hearing Instrument Specialist

120 OAKBROOK CENTER, SUITE 709
OAK BROOK, IL 60523

Dupage County (312) 263-7171

DR. NANCY J HUNTZINGER PSY.D.

Psychologist (Clinical)

120 OAKBROOK CENTER, SUITE 720
OAK BROOK, IL 60523

Dupage County (630) 336-6172

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 Suburban Periodontal Associates Limited's NPI number?

The NPI number for Suburban Periodontal Associates Limited is 1578680765. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Suburban Periodontal Associates Limited located?

Suburban Periodontal Associates Limited is located at 120 Oakbrook Center Suite 600, Oak Brook, IL 60523. The listed phone number is (630) 368-0605.

What is Suburban Periodontal Associates Limited'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 Suburban Periodontal Associates Limited was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.