Healthcare Provider Details

I. General information

NPI: 1043126972
Provider Name (Legal Business Name): IL DENTIST PARTNERS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E ALGONQUIN RD STE 205
ALGONQUIN IL
60102-9606
US

IV. Provider business mailing address

1700 E ALGONQUIN RD STE 205
ALGONQUIN IL
60102-9606
US

V. Phone/Fax

Practice location:
  • Phone: 847-658-5070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: PAMELA BUSCEMI
Title or Position: VP OF REVENUE CYCLE
Credential:
Phone: 586-557-2748