MEDICARE: STROBEL DENTISTRY LTD.

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	332BC3200X	Customized Equipment (DME)
2	261QD0000X	Dental Clinic/Center	019-015250	IL

General Provider Information

NPI Number	:	1912978636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STROBEL DENTISTRY LTD.

Provider Business Mailing Address
First Line	:	25 E WASHINGTON ST
Second Line	:	SUITE 1917
City	:	CHICAGO
State	:	IL
Zip	:	60602-1708
Country	:	US
Telephone Number	:	312-726-3135
Fax Number	:	312-782-1993

Provider Business Practice Location Address
First Line	:	25 E WASHINGTON ST
Second Line	:	SUITE 1917
City	:	CHICAGO
State	:	IL
Zip	:	60602-1708
Country	:	US
Telephone Number	:	312-726-3135
Fax Number	:	312-782-1993

Authorized Official
Title or Position	:	MARKETING COORDINATOR
Name	:	JESSICA PIROTTE
Credential	:
Telephone Number	:	312-726-3135

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	02/02/2025

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