Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396146775 Individual Practitioner Male Practitioner

Dr. Emilio Carrillo , DDS

Dentist - General Practice • Gurnee, IL

Professional Overview & Biography Verified Profile Summary

Dr. Emilio Carrillo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gurnee, IL. Practice services are available at 4343 OLD GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4343 Old Grand Ave
Ste-112

Gurnee, IL 60031

Telephone 3127192582
Associated Practice Facility / Clinic
🏢 Spring View Imaging Center Facility NPI 1316377682

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Gurnee, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 100097715

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1326189309

Doctor of Dental Surgery

Alison Koehler , LCPC

Counselor - Mental Health

NPI 1700935418

Licensed Clinical Professional Counselor

Thomas Wright , LCPC

Counselor - Professional

NPI 1790765279

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 23, 2018

Registered at 4343 OLD GRAND AVE, STE-112, GURNEE, IL 60031 (Tel: 3127192582)

📍
Updated Business Mailing Address May 23, 2018

Registered at 4343 OLD GRAND AVE, STE-112, GURNEE, IL 60031 (Tel: 3127192582)

NPI Profile Active October 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2014

Registered at 220 COMMERCE CT, ELKHORN, WI 531214371 (Tel: 2627233224)

📍
Updated Business Mailing Address October 15, 2014

Registered at 1424 VINEYARD DR, GURNEE, IL 600315610 (Tel: 3127192582)

👤
Provider Name / Credentials Updated October 15, 2014

Recorded as EMILIO CARRILLO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2014

Dentist (License #100097715 in WI)

🟢
Initial NPI Registration & Enumeration September 04, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396146775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2014
Last Update: May 23, 2018
Sole Proprietor: Yes

Mailing Address

4343 Old Grand Ave, Ste-112

Gurnee, IL 60031

Phone: 3127192582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.