Healthcare Provider Details

I. General information

NPI: 1629356241
Provider Name (Legal Business Name): KAPIL VIJ DDS MS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2011
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 E DOWNER PL
AURORA IL
60505-3340
US

IV. Provider business mailing address

57 E DOWNER PL
AURORA IL
60505-3340
US

V. Phone/Fax

Practice location:
  • Phone: 630-859-8686
  • Fax:
Mailing address:
  • Phone: 630-859-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number019-025148
License Number StateIL

VIII. Authorized Official

Name: KAPIL VIJ
Title or Position: DENTIST
Credential: DDS
Phone: 847-372-4030