Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mobile Medical and Dental Services, PC

Organization Dentist · NPI 1376869024

Mobile Medical and Dental Services, PC provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
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

9716 S Longwood Dr
Chicago, IL 60643-1610 Not confirmed with CMS for 16 years — call before visiting
Phone: (708) 250-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.021712 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.074856 (IL)

Record details

NPI number1376869024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Crevier — President · (708) 250-6175
NPI enumeratedApril 19, 2010
Last updated in NPPESApril 19, 2010
Mailing address9716 S Longwood Dr, Chicago, IL 60643-1610

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