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

Periodontics Ltd

Organization Periodontics · NPI 1043344492

Periodontics Ltd is a 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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