Glen Ellyn Orthodontics, Pc

Specialty details in registry · Glen Ellyn, IL

Call (630) 469-6200 Directions

At a glance

45 S Park Blvd, Glen Ellyn, IL 60137-6280

NPPES record updated Nov 16, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

45 S Park Blvd Suite 220
Glen Ellyn, IL 60137-6280

Professional details: NPI, taxonomy & registry record

NPI1063954477

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QD0000X
Enumeration date: Nov 16, 2016
Record updated: Nov 16, 2016

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QD0000X · Primary

License reported: 021.002325 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

45 S Park Blvd
Suite 220
Glen Ellyn, IL 60137-6280

Phone: (630) 469-6200
Fax: (630) 469-6203

Mailing address

45 S PARK BLVD
SUITE 220
GLEN ELLYN, IL 601376280

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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