PARK RIDGE ENDODONTICS NPI 1467774661

NPI Information

  • NPI: 1467774661
  • Provider Name: PARK RIDGE ENDODONTICS
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 350 S NORTHWEST HWY
    SUITE 116
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 823-4161

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NPI Details

PARK RIDGE ENDODONTICS is a preferred provider organization in Park Ridge, IL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PARK RIDGE ENDODONTICS NPI is 1467774661. The provider is registered as an organization entity type.

The provider's business location address is:

350 S NORTHWEST HWY
SUITE 116
PARK RIDGE, IL
ZIP 60068-216
Phone: (847) 823-4161
Fax: (847) 823-4163

The provider's authorized official is Patrick I Fitzgerald .
The authorized official title is President and has the following contact phone number (847) 823-4161.

The enumeration date for this NPI number is 2/16/2010 and was last updated on 2/16/2010.

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
1302R00000XHealth Maintenance Organization060009606ILLINOISNo
2305R00000XPreferred Provider Organization060009606ILLINOISYes

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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