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EVANSTON PERIODONTICS, LLC
NPI 1669499505
Dentist - Periodontics in Evanston, IL

Active since July 16, 2006
636 CHURCH ST, SUITE # 722, EVANSTON, IL 60201(847) 475-7754(847) 475-4725 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evanston Periodontics, Llc NPPES

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

EVANSTON PERIODONTICS, LLC (NPI 1669499505) is a healthcare organization registered as a periodontics in Evanston, Illinois and active in the NPI registry since July 2006. The organization lists Roger Albert Nouneh, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1669499505
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEVANSTON PERIODONTICS, LLC
Location Address636 CHURCH ST, SUITE # 722Evanston, IL 60201-4508
Mailing Address636 Church St, Suite # 722Evanston, IL 60201-4508 · (847) 475-7754 · Fax (847) 475-4725
Phone(847) 475-7754
Fax(847) 475-4725
Organization SubpartNo
Authorized OfficialRoger Albert NounehManaging Member · (312) 927-8882
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669499505 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.
636 CHURCH ST, Evanston, IL 60201
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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 20

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

DR. SHEILA M. CULKIN PH.D.
Psychologist (Clinical)
636 CHURCH ST, SUITE #421
EVANSTON, IL 60201
Cook County (847) 328-3120
AMY OWEN
Counselor (Professional)
636 CHURCH ST
EVANSTON, IL 60201
Cook County (203) 693-4917
MR. JIMMY ROBERT DONG DDS
Dentist
636 CHURCH ST, #721
EVANSTON, IL 60201
Cook County (847) 475-6606
MS. BARBARA A. ENGLAND L.C.S.W
Social Worker (Clinical)
636 CHURCH ST, #508
EVANSTON, IL 60201
Cook County (847) 328-4860
LAURA SHAMORIAN GOSSIN MS, LMFT
Marriage & Family Therapist
636 CHURCH ST, SUITE 601
EVANSTON, IL 60201
Cook County (312) 344-3596
DR. NANCY L. JENSEN PHD
Psychologist (Clinical)
636 CHURCH ST, SUITE 416
EVANSTON, IL 60201
Cook County (847) 612-0598
DR. JESSICA I STRANG PSY.D.
Psychologist (Clinical)
636 CHURCH ST, SUITE 615-B
EVANSTON, IL 60201
Cook County (773) 983-5672
MRS. LOIS N. SILVERSTEIN LCSW
Counselor (Mental Health)
636 CHURCH ST, SUITE 409
EVANSTON, IL 60201
Cook County (847) 475-8342

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 Evanston Periodontics, LLC's NPI number?

The NPI number for Evanston Periodontics, LLC is 1669499505. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Evanston Periodontics, LLC located?

Evanston Periodontics, LLC is located at 636 Church St Suite # 722, Evanston, IL 60201. The listed phone number is (847) 475-7754.

What is Evanston Periodontics, LLC'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 Evanston Periodontics, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.