OrganizationActive
Periodontics Ltd.
NPI 1336219856 · Periodontics · Chicago, IL
Periodontics Ltd. is a Periodontics organization in Chicago, IL (NPI 1336219856).
Provider details
- NPI number
- 1336219856
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Russo, Periodontist(312) 641-2572
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
111 N Wabash Ave Ste 919
Chicago, IL 60602-1932
Phone: (312) 641-2572
Fax: (312) 641-6621
Street-level locationGet directions
Mailing address
111 N Wabash Ave Ste 919
Chicago, IL 60602-1932
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Periodontics Ltd.'s NPI number?
- Periodontics Ltd.'s National Provider Identifier (NPI) is 1336219856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontics Ltd.?
- Periodontics Ltd. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontics Ltd. located?
- Periodontics Ltd.'s practice location on file with NPPES is 111 N Wabash Ave Ste 919, Chicago, IL 60602-1932.
- What is Periodontics Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Periodontics Ltd. is (312) 641-2572.
- Who is the authorized official for Periodontics Ltd.?
- The authorized official listed on Periodontics Ltd.'s NPPES record is Stephen Russo, Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontics Ltd.'s NPI active?
- Yes — Periodontics Ltd.'s NPI (1336219856) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.