OrganizationActive
Evanston Periodontics, LLC
NPI 1669499505 · Periodontics · Evanston, IL
Evanston Periodontics, LLC is a Periodontics organization in Evanston, IL (NPI 1669499505).
Provider details
- NPI number
- 1669499505
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Roger Nouneh, Managing Member(312) 927-8882
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
636 Church St
Suite # 722
Evanston, IL 60201-4508
Phone: (847) 475-7754
Fax: (847) 475-4725
Street-level locationGet directions
Mailing address
636 Church St
Evanston, IL 60201-4508
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Evanston Periodontics, LLC's NPI number?
- Evanston Periodontics, LLC's National Provider Identifier (NPI) is 1669499505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evanston Periodontics, LLC?
- Evanston Periodontics, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Evanston Periodontics, LLC located?
- Evanston Periodontics, LLC's practice location on file with NPPES is 636 Church St, Evanston, IL 60201-4508.
- What is Evanston Periodontics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Evanston Periodontics, LLC is (847) 475-7754.
- Who is the authorized official for Evanston Periodontics, LLC?
- The authorized official listed on Evanston Periodontics, LLC's NPPES record is Roger Nouneh, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evanston Periodontics, LLC's NPI active?
- Yes — Evanston Periodontics, LLC's NPI (1669499505) 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.