Healthcare Provider Details

I. General information

NPI: 1164341103
Provider Name (Legal Business Name): ANGELA SUH DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W DUNDEE RD
WHEELING IL
60090-2765
US

IV. Provider business mailing address

407 W DUNDEE RD
WHEELING IL
60090-2765
US

V. Phone/Fax

Practice location:
  • Phone: 847-868-2723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA SUH
Title or Position: DENTIST
Credential: DMD
Phone: 847-630-2057