Healthcare Provider Details

I. General information

NPI: 1538702436
Provider Name (Legal Business Name): DR.POLES DENTAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E RAND RD
ARLINGTON HEIGHTS IL
60004-3103
US

IV. Provider business mailing address

305 E RAND RD
ARLINGTON HEIGHTS IL
60004-3103
US

V. Phone/Fax

Practice location:
  • Phone: 847-241-4161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. BILUS POLES
Title or Position: PRESIDENT
Credential: DDS
Phone: 847-241-4161