OrganizationActive
Old Orchard Dental Group P.C.
NPI 1578886206 · Preferred Provider Organization · Skokie, IL
Provider details
- NPI number
- 1578886206
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Atosa Sarrafi, President(312) 402-7414
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
9631 Gross Point Rd
Suite 4
Skokie, IL 60076-1264
Phone: (312) 402-7414
Street-level locationGet directions
Mailing address
9631 Gross Point Rd
Skokie, IL 60076-1264
Registry dates
- Enumerated
- 2010-03-09
- Last updated
- 2010-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.