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

Evanston Periodontics, LLC

Organization Periodontics · NPI 1669499505

Evanston Periodontics, LLC is a Periodontics in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

636 Church St Ste # 722
Evanston, IL 60201-4508
Phone: (847) 475-7754
Fax: (847) 475-4725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (IL)

Record details

NPI number1669499505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Nouneh — Managing Member · (312) 927-8882
NPI enumeratedJuly 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address636 Church St, Suite # 722, Evanston, IL 60201-4508

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