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

Prime Endodontics

Organization Endodontics · NPI 1275445835

Prime Endodontics provides Endodontics in Tinley Park, Illinois. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

17047 Harlem Ave
Tinley Park, IL 60477-2739
Phone: (708) 580-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1275445835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mahmoud Mona — President · (708) 580-0010
NPI enumeratedSeptember 18, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address17047 Harlem Ave, Tinley Park, IL 60477-2739

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