Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Dental of Mokena LLC

Organization Dental Clinic/Center · NPI 1427576750

Autumn Dental of Mokena LLC is a Dental Clinic/Center in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19848 S La Grange Rd
Mokena, IL 60448-9339
Phone: (708) 995-1859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019027024 (IL)

Record details

NPI number1427576750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Bares — Owner · (815) 275-2680
NPI enumeratedSeptember 7, 2017
Last updated in NPPESSeptember 7, 2017
Mailing address208 N Walnut Ave, Forreston, IL 61030-9330

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