Healthcare Provider Details

I. General information

NPI: 1346160264
Provider Name (Legal Business Name): SYDNEY LOPEZ PERKOVIC DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 YORKTOWN SHOPPING CTR
LOMBARD IL
60148-5571
US

IV. Provider business mailing address

50 YORKTOWN SHOPPING CTR UNIT 325
LOMBARD IL
60148-5633
US

V. Phone/Fax

Practice location:
  • Phone: 630-991-6341
  • Fax:
Mailing address:
  • Phone: 630-991-6341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.037349
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: