OrganizationActive
Lagrange Periodontics, Ltd
NPI 1023175775 · Periodontics · Countryside, IL
Lagrange Periodontics, Ltd is a Periodontics organization in Countryside, IL (NPI 1023175775).
Provider details
- NPI number
- 1023175775
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Jennings, President/Periodontist(708) 354-4545
- License
- 21001423 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6520 Joliet Rd
Countryside, IL 60525
Phone: (708) 354-4545
Fax: (708) 354-0336
Street-level locationGet directions
Mailing address
6520 Joliet Rd
Countryside, IL 60525-4649
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2019-10-30
Frequently asked questions
- What is Lagrange Periodontics, Ltd's NPI number?
- Lagrange Periodontics, Ltd's National Provider Identifier (NPI) is 1023175775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lagrange Periodontics, Ltd?
- Lagrange Periodontics, Ltd is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Lagrange Periodontics, Ltd located?
- Lagrange Periodontics, Ltd's practice location on file with NPPES is 6520 Joliet Rd, Countryside, IL 60525.
- What is Lagrange Periodontics, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Lagrange Periodontics, Ltd is (708) 354-4545.
- Who is the authorized official for Lagrange Periodontics, Ltd?
- The authorized official listed on Lagrange Periodontics, Ltd's NPPES record is Michelle Jennings, President/Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lagrange Periodontics, Ltd's NPI active?
- Yes — Lagrange Periodontics, Ltd's NPI (1023175775) is active in the NPPES registry as of the last update on 2019-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.