MEDICARE: TRU DENTAL ILLINOIS II PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1316522766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU DENTAL ILLINOIS II PLLC

Provider Business Mailing Address
First Line	:	2418 W INDIAN TRL STE E
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-1590
Country	:	US
Telephone Number	:	630-907-2180
Fax Number	:	630-907-2180

Provider Business Practice Location Address
First Line	:	2418 W INDIAN TRL STE E
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-1590
Country	:	US
Telephone Number	:	630-907-2180
Fax Number	:	630-907-2180

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	CELIA HAYES
Credential	:
Telephone Number	:	217-540-2100

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	03/25/2021

Similar Medicare Providers

1518960020 — DR. THOMAS J GUZZARDI D.D.S.
Practice Location Address:

2418 W INDIAN TRL , STE E
AURORA, IL
60506-1590

Practice Phone: 630-907-2180
Practice Fax: 630-907-0789

1588123079 — HOPE DENTAL P.C.
Practice Location Address:

2418 W INDIAN TRL STE E
AURORA, IL
60506-1590

Practice Phone: 630-907-2180
Practice Fax:

1750960167 — ORCHARD NATURAL MEDICINE, PC
Practice Location Address:

2418 W INDIAN TRL STE A
AURORA, IL
60506-1590

Practice Phone: 630-962-6073
Practice Fax:

1043190440 — THRIVE URGENT WELLNESS CENTER LLC
Practice Location Address:

403 W GALENA BLVD STE 109
AURORA, IL
60506-3948

Practice Phone: 773-701-7531
Practice Fax:

1639906290 — SUSAN E HAUGH LSW
Practice Location Address:

70 S RIVER ST
AURORA, IL
60506-5185

Practice Phone: 630-844-2662
Practice Fax:

1346249679 — DR. THOMAS JOHN LINDSTROM D.C.
Practice Location Address:

1965 W DOWNER PL , STE 201
AURORA, IL
60506-4379

Practice Phone: 630-896-3377
Practice Fax: 630-896-2120

Directions to “TRU DENTAL ILLINOIS II PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.