Healthcare Provider Details

I. General information

NPI: 1356251896
Provider Name (Legal Business Name): BIANCA C ALIANELLO RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 OGDEN AVE STE B
DOWNERS GROVE IL
60515-2343
US

IV. Provider business mailing address

3017 35TH ST
OAK BROOK IL
60523-2606
US

V. Phone/Fax

Practice location:
  • Phone: 630-868-9000
  • Fax:
Mailing address:
  • Phone: 630-915-9587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number020.017714
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: