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

Identity Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1619375144

Identity Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in Grayslake, Illinois. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1275 E Belvidere Rd Ste 100
Grayslake, IL 60030-2080
Phone: (847) 548-4200
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1619375144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Stosich — Owner · (847) 548-4200
NPI enumeratedDecember 16, 2014
Last updated in NPPESDecember 16, 2014
Mailing address1275 E Belvidere Rd, Grayslake, IL 60030-2082

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