OrganizationActive

Edp of Illinois P.C

NPI 1154712784 · Dental Clinic/Center · Dupo, IL

Provider details

NPI number: 1154712784
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Melissa Garibay, Credentialing Manager(312) 736-8963
License: 021.001656 (IL)

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 021.001656 (IL)
Dental Providers

Profile Score

Detailed profile(83/100 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
29 documented practice locations

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

195 S Main St

Dupo, IL 62239-1347

Phone: (312) 800-1270

Street-level locationGet directions

More IL providers

Mailing address

141 W Jackson Blvd Ste 210

Chicago, IL 60604-3048

Other names (DBA / former)

Doing business as: Affordable Dental of Illnois

Additional practice locations (28)

785 S Randall Rd
Algonquin, IL 60102-5914
Phone: (847) 854-9833
417 E Il Route 173 Unit 113
Antioch, IL 60002-9407
Phone: (847) 395-5550
417 E Il Route 173 Unit 113
Antioch, IL 60002-9407
Phone: (847) 395-5550
1401 S Arlington Heights Rd Ste 1
Arlington Heights, IL 60005-3700
Phone: (847) 758-0100
1307 E. Rand Rd
Arlington Heights, IL 60004
Phone: (847) 392-4422
115 S Wilke Rd Ste 104
Arlington Heights, IL 60005-1500
Phone: (847) 253-0195
708 E Bethalto Dr
Bethalto, IL 62010-1871
Phone: (618) 377-0044
183 S Bloomingdale Rd Ste 200
Bloomingdale, IL 60108-1400
Phone: (630) 529-2522
142 S Gary Ave Ste 102
Bloomingdale, IL 60108-2226
Phone: (630) 283-0652

Enumerated: 2015-02-18
Last updated: 2021-09-29
Certified: 2021-09-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.