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

Pro Dental Il - Chad Wise PC

Organization Dentist · NPI 1710714233

Pro Dental Il - Chad Wise PC is a Dentist in Oak Park, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Chicago Ave
Oak Park, IL 60302-2432
Phone: (708) 948-7744
Fax: (708) 948-7846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1710714233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simone Wilson-Adeleke — Director Of Credentialing · (732) 731-8398
Other names Destiny Dental Of Oak Park
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address10 Woodbridge Center Dr Ste 520, Woodbridge, NJ 07095-1152

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