HAMILTON LAKES DENTISTRY GROUP PLLC NPI 1164181772

NPI Information

NPI: 1164181772
Provider Name: HAMILTON LAKES DENTISTRY GROUP, PLLC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 500 PARK BLVD STE 180C
ITASCA, IL
ZIP 60143
Phone: (630) 773-6966

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NPI Details

HAMILTON LAKES DENTISTRY GROUP, PLLC is a general practice dentist in Itasca, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HAMILTON LAKES DENTISTRY GROUP, PLLC NPI is 1164181772. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 PARK BLVD STE 180C
ITASCA, IL
ZIP 60143-121
Phone: (630) 773-6966

The provider's authorized official is Kathryn Elizabeth Conti .
The authorized official title is Owner/general Dentist and has the following contact phone number (630) 773-6966.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 12/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1417000704	OTHER	ILLINOIS	NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
2	1225385701	OTHER	ILLINOIS	NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
3	1598147324	OTHER	ILLINOIS	NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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