Healthcare Provider Details

I. General information

NPI: 1912978636
Provider Name (Legal Business Name): STROBEL DENTISTRY LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 02/02/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON ST SUITE 1917
CHICAGO IL
60602-1708
US

IV. Provider business mailing address

25 E WASHINGTON ST SUITE 1917
CHICAGO IL
60602-1708
US

V. Phone/Fax

Practice location:
  • Phone: 312-726-3135
  • Fax: 312-782-1993
Mailing address:
  • Phone: 312-726-3135
  • Fax: 312-782-1993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number019-015250
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA PIROTTE
Title or Position: MARKETING COORDINATOR
Credential:
Phone: 312-726-3135