OrganizationActive
Premier Dental Care Illinois Inc
NPI 1255985669 · Dental Clinic/Center · Evanston, IL
Provider details
- NPI number
- 1255985669
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hidayathulla Khan, Owner(224) 443-4988
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1819 Church St
Evanston, IL 60201-3415
Phone: (847) 866-7430
Approximate (ZIP-level) locationGet directions
Mailing address
1819 Church St
Evanston, IL 60201-3415
Registry dates
- Enumerated
- 2019-07-25
- Last updated
- 2019-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.