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

Id Orthodoctics LLC

Organization Dentist · NPI 1629541636

Id Orthodoctics LLC is a Dentist in Grayslake, Illinois. Registered with an NPI since 2019.

In the registry since
2019
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

1275 E Belvidere Rd Ste 100
Grayslake, IL 60030-2080
Phone: (847) 548-4200
Fax: (847) 548-4527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1629541636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address1275 E Belvidere Rd Ste 100, Grayslake, IL 60030-2080

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