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.
Organization
PRO DENTAL IL - CHAD WISE PC
Active
Organization
PRO DENTAL IL - CHAD WISE PC
Active
Other names
Destiny Dental of Jeffery
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE WILSON-ADELEKE MPA-PPA (DIRECTOR OF CREDENTIALING)
(732) 731-8398
Entity
Organization
Contact information
Practice address
2101 E 71ST ST STE C, CHICAGO, IL 60649-2119
(773) 241-7000
(773) 241-7007
Mailing address
10 WOODBRIDGE CENTER DR STE 520, WOODBRIDGE, NJ 07095-1152
(732) 731-8398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up