Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Periodontics Ltd

Organization Periodontics · NPI 1043344492

Periodontics Ltd provides Periodontics in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4711 Golf Rd Ste 101
Skokie, IL 60076-1239
Phone: (847) 675-7555
Fax: (847) 675-3734
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 number1043344492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Russo — Partner · (847) 675-7555
NPI enumeratedMarch 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4711 Golf Rd Ste 101, Skokie, IL 60076-1239

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