OrganizationActive
Mobi-Dent P.C.
NPI 1205001914 · Physical Disabilities Residential Treatment Facility · Flossmoor, IL
Provider details
- NPI number
- 1205001914
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Avery Powell, President(708) 228-0474
- License
- 019022452 (IL)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1719 Heather Hill Cres
Flossmoor, IL 60422-2041
Phone: (708) 228-0474
Fax: (314) 837-8918
Street-level locationGet directions
Mailing address
15652 94th Ave
Florissant, MO 63034-2175
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.