Dr. Susan M Cholakian, DDS

Dentist, General Practice in Des Plaines, IL. Individual provider (NPI-1).

NPI number1366717464

StatusActive

Last updated in NPPESMar 21, 2012

Details

NPI: 1366717464
Entity type: Individual (NPI-1)
Name: Dr. Susan M Cholakian
Credential: DDS
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 21, 2012
Last updated: Mar 21, 2012

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	019020852	IL	Yes

Practice location

1585 Ellinwood Ave
Suite 106
Des Plaines, IL 60016-4510

Phone 847-803-5151 · Fax 847-803-5491

Mailing address

1585 Ellinwood Ave
Suite 106
Des Plaines, IL 60016-4510

Phone 847-803-5151 · Fax 847-803-5491

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Des Plaines, IL

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