OrganizationActive
Dental Professionals of Illinois, P.C.
NPI 1043609167 · General Practice Dentistry · Mokena, IL
Dental Professionals of Illinois, P.C. is a General Practice Dentistry organization in Mokena, IL (NPI 1043609167).
Provider details
- NPI number
- 1043609167
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Dental Professionals of Illinois, P.C.
- Organization subpart
- Yes
- Authorized official
- Kim Wilson, Cred Superivosr(217) 540-5170
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
9990 W 190th St
Suite D
Mokena, IL 60448-8188
Phone: (708) 479-9797
Fax: (708) 478-4571
Street-level locationGet directions
Mailing address
9990 W 190th St
Mokena, IL 60448-8188
Other names (DBA / former)
- Doing business as
- Mokena Crossings Family Dental
Registry dates
- Enumerated
- 2015-01-13
- Last updated
- 2015-01-13
Frequently asked questions
- What is Dental Professionals of Illinois, P.C.'s NPI number?
- Dental Professionals of Illinois, P.C.'s National Provider Identifier (NPI) is 1043609167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Professionals of Illinois, P.C.?
- Dental Professionals of Illinois, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Professionals of Illinois, P.C. located?
- Dental Professionals of Illinois, P.C.'s practice location on file with NPPES is 9990 W 190th St, Mokena, IL 60448-8188.
- What is Dental Professionals of Illinois, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Dental Professionals of Illinois, P.C. is (708) 479-9797.
- Who is the authorized official for Dental Professionals of Illinois, P.C.?
- The authorized official listed on Dental Professionals of Illinois, P.C.'s NPPES record is Kim Wilson, Cred Superivosr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Professionals of Illinois, P.C.'s NPI active?
- Yes — Dental Professionals of Illinois, P.C.'s NPI (1043609167) is active in the NPPES registry as of the last update on 2015-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.