IndividualActive
Sidharth Mohan, MSD, BDS, BS
NPI 1558830794 · Prosthodontics · Shorewood, IL
Provider details
- NPI number
- 1558830794
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- MSD, BDS, BS
- Sex
- Male
- Sole proprietor
- No
- License
- 019.031930 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
964 Brookforest Ave
Shorewood, IL 60404-8807
Phone: (815) 254-1177
Street-level locationGet directions
Mailing address
964 Brookforest Ave
Shorewood, IL 60404-8807
Registry dates
- Enumerated
- 2018-11-16
- Last updated
- 2019-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.