What is Edp of Illinois P.C's NPI number?

Edp of Illinois P.C's National Provider Identifier (NPI) is 1154712784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Edp of Illinois P.C?

Edp of Illinois P.C is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).

Where is Edp of Illinois P.C located?

Edp of Illinois P.C's practice location on file with NPPES is 195 S Main St, Dupo, IL 62239-1347.

What is Edp of Illinois P.C's phone number?

The practice phone number listed in the NPPES registry for Edp of Illinois P.C is (312) 800-1270.

Who is the authorized official for Edp of Illinois P.C?

The authorized official listed on Edp of Illinois P.C's NPPES record is Melissa Garibay, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Edp of Illinois P.C's NPI active?

Yes — Edp of Illinois P.C's NPI (1154712784) is active in the NPPES registry as of the last update on 2021-09-29.

OrganizationActive

Edp of Illinois P.C

NPI 1154712784 · Dental Clinic/Center · Dupo, IL

Edp of Illinois P.C is a Dental Clinic/Center organization in Dupo, IL (NPI 1154712784).

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(84/100 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
115 S Wilke Rd Ste 104
Arlington Heights, IL 60005-1500
Phone: (847) 253-0195
1307 E. Rand Rd
Arlington Heights, IL 60004
Phone: (847) 392-4422
1401 S Arlington Heights Rd Ste 1
Arlington Heights, IL 60005-3700
Phone: (847) 758-0100
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

Frequently asked questions

What is Edp of Illinois P.C's NPI number?: Edp of Illinois P.C's National Provider Identifier (NPI) is 1154712784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Edp of Illinois P.C?: Edp of Illinois P.C is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
Where is Edp of Illinois P.C located?: Edp of Illinois P.C's practice location on file with NPPES is 195 S Main St, Dupo, IL 62239-1347.
What is Edp of Illinois P.C's phone number?: The practice phone number listed in the NPPES registry for Edp of Illinois P.C is (312) 800-1270.
Who is the authorized official for Edp of Illinois P.C?: The authorized official listed on Edp of Illinois P.C's NPPES record is Melissa Garibay, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Edp of Illinois P.C's NPI active?: Yes — Edp of Illinois P.C's NPI (1154712784) is active in the NPPES registry as of the last update on 2021-09-29.

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