Healthcare Provider Details

I. General information

NPI: 1407603590
Provider Name (Legal Business Name): DENTAL CURE OF WHEELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 05/06/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S MILWAUKEE AVE
WHEELING IL
60090-3187
US

IV. Provider business mailing address

3539 BIRCH LN
NAPERVILLE IL
60564-1161
US

V. Phone/Fax

Practice location:
  • Phone: 847-465-0800
  • 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: DR. ADITYA SINGH OBI
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 718-737-4824