Evanston Hospital Dental Center

NPI #1518829852 in Evanston, Illinois

Provider Information

NPI Number: 1518829852
Entity Type: Organization
Organization Name: Evanston Hospital Dental Center
Subpart: Yes (part of a larger organization)
Parent Organization: ENDEAVOR HEALTH
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 25, 2025
Last Updated: Nov 25, 2025

Practice Location

Address: 26650 RIDGE AVE, SUITE G200
City: Evanston
State: Illinois
ZIP Code: 60201
Phone: (847) 570-2382

Authorized Official

Name: MICHAEL GOMELLA, D.D.S.
Title: DIRECTOR
Phone: (847) 570-2382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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