# CHILDREN'S & ADOLESCENT DENTISTRY, LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023032604
- **Authorized official:** DR. LEO D MORTON D.D.S. (VICE PRESIDENT)
- **Authorized official phone:** (847) 299-1095

## Contact information

- **Practice address:** 9101 N GREENWOOD AVE, SUITE 308, NILES, IL 60714-1499
- **Practice address phone:** (847) 299-1095
- **Mailing address:** 9101 N GREENWOOD AVE, SUITE 308, NILES, IL 60714-1499
- **Mailing address phone:** (847) 299-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | IL | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/22/2020