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

Lagrange Perio LLC

Organization Periodontics · NPI 1518689546

Lagrange Perio LLC is a Periodontics in Countryside, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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

6520 Joliet Rd
Countryside, IL 60525-4649
Phone: (708) 354-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1518689546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Jensen — Manager · (708) 354-4545
Other names Lagrange Periodontics
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address6520 Joliet Rd, Countryside, IL 60525-4649

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