Provider Demographics
NPI:1548977101
Name:JRSMILES PLLC
Entity type:Organization
Organization Name:JRSMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KUEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:630-388-9999
Mailing Address - Street 1:0S200 WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1235
Mailing Address - Country:US
Mailing Address - Phone:630-690-1155
Mailing Address - Fax:630-690-1196
Practice Address - Street 1:0S200 WINFIELD RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1235
Practice Address - Country:US
Practice Address - Phone:630-690-1155
Practice Address - Fax:630-690-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental