OrganizationActive
25 East Dental LLC
NPI 1225583776 · Preferred Provider Organization · Chicago, IL
Provider details
- NPI number
- 1225583776
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Alan Acierno, Manager(630) 339-3172
- License
- 019018378 (IL)
Specialties & taxonomies
Managed Care Organizations
Practice location
25 E Washington St
Suite 1115
Chicago, IL 60602-1708
Phone: (630) 339-3172
Approximate (ZIP-level) locationGet directions
Mailing address
129 S Roselle Rd
Schaumburg, IL 60193-5540
Registry dates
- Enumerated
- 2016-08-24
- Last updated
- 2016-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.