Healthcare Provider Details

I. General information

NPI: 1003011826
Provider Name (Legal Business Name): BILUS D POLES DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
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: 847-483-8833
  • Fax: 847-483-8900
Mailing address:
  • Phone: 847-483-8833
  • Fax: 847-483-8900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.027365
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: