EVANSTON PERIODONTICS, LLC – Periodontics, NPI 1669499505

EVANSTON PERIODONTICS, LLC is a healthcare provider. based in Evanston, Illinois. specializing in Periodontics. The NPI Number for EVANSTON PERIODONTICS, LLC is 1669499505

Main info

Organization
Name
EVANSTON PERIODONTICS, LLC
NPI
1669499505
Phone
(847) 475-7754
Address
636 CHURCH ST
Authorized Official
DR. ROGER ALBERT NOUNEH MANAGING MEMBER DMD; MS
Enumeration Date
16 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for EVANSTON PERIODONTICS, LLC

  • 636, Church Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    SUITE # 722

    EVANSTON, IL 602014508

    Phone: (847) 475-7754

    Fax: (847) 475-4725

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Reviews

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Frequently asked questions

Does EVANSTON PERIODONTICS, LLC have a public NPI I can cite?
Public records show EVANSTON PERIODONTICS, LLC under NPI 1669499505.
Does the public listing show EVANSTON PERIODONTICS, LLC as active?
EVANSTON PERIODONTICS, LLC's NPI record reflects an active status in NPPES.
How should patients interpret EVANSTON PERIODONTICS, LLC's specialty?
The extract shows Periodontics for EVANSTON PERIODONTICS, LLC. Clinical services aligned with this taxonomy classification.
Is EVANSTON PERIODONTICS, LLC tied to Evanston, Illinois?
If you are local to Evanston, Illinois, EVANSTON PERIODONTICS, LLC may be relevant to your search.
Why is information missing for EVANSTON PERIODONTICS, LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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