NPI
105 W Madison Dental Pc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2018-06-27
- Last updated
- 2018-06-27
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 105 W Madison St Ste 300
- City
- Chicago IL
- Postal code
- 60602-4602
- Phone
- (561) 899-4595
Organization contact
- Name
- TIMOTHY SKIDMORE
- Title
- Practice Administrator
- Phone
- 6308169064
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Chicago, IL. 81,186 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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