OrganizationActive
Advanced Periodontics and Implants, Ltd
NPI 1356668867 · Dental Clinic/Center · Evanston, IL
Provider details
- NPI number
- 1356668867
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nikisha Jodhan, Periodontist/ President(847) 512-7410
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
900 Chicago Ave
Unit 702
Evanston, IL 60202-1872
Phone: (312) 854-0806
Approximate (ZIP-level) locationGet directions
Mailing address
500 Davis St Ste 104
Evanston, IL 60201-4600
Registry dates
- Enumerated
- 2010-04-23
- Last updated
- 2010-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.