SearchIllinois101YP2500X

Samantha Wiegand

NPI 1700701083 · on the registry since 2026 · sole proprietor

Practice

Address
1209 W Diversey Pkwy Unit G-2
Chicago, IL 60614
Phone
(773) 413-8385
Organisation at this address
Ac Dentistry, Llc
Keith D. Schulhof, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois