DENTAL STARZ, LLC (NPI# 1023276292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023276292 |
| Entity Type | Organization |
| Organization Name | DENTAL STARZ, LLC |
| Practice Address |
2121 S Wolf Rd Apt 412 Hillside IL 60162-2144 |
| Mailing Address |
75 W North Ave # 400 Northlake IL 60164-2306 |
| Practice Telephone | 6302902023 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | DR. ILYAS MOHAMMED AHMED (OWNER) |
| Authorized Official Telephone | 6302902023 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019-026721 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588905897 | Dental Starz, LLC | Dentist | 4434a W Fullerton Ave, Chicago, IL 60639-1932 | 2013-03-12 |
| Street Address |
2121 S WOLF RD APT 412 |
| City | HILLSIDE |
| State | IL |
| Zip Code | 60162-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345216 | Oakwood Medical Services Inc | Durable Medical Equipment & Medical Supplies | 4747 Charles St, Hillside, IL 60162 | 2018-08-13 |
| 1316187453 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 120 S Mannheim Road, H01, Hillside, IL 60162 | 2009-03-03 |
| 1679729891 | Daniel J. Desalvo | Dentist | 321 N. Hillside Ave, Hillside, IL 60162 | 2008-08-08 |
| 1124163332 | Aspire of Illinois | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2007-02-21 |
| 1558409243 | Sayeeda Yasmin | Internal Medicine | Renaissance At Hillside, Hillside, IL 60162 | 2007-02-02 |
| 1114088226 | Health Options of Il, Inc | Case Management | 4415 W. Harrison Street, 300, Hillside, IL 60162 | 2006-12-12 |
| 1699860213 | Hinsdale Physicians Healthcare Association, Inc. | Health Maintenance Organization | 4415 West Harrison Street, Suite 300, Hillside, IL 60162 | 2006-10-03 |
| 1467477059 | Magdoleen Nessim | Internal Medicine | 4413 W Roosvelt Rd, 101, Hillside, IL 60162 | 2006-07-13 |
| 1174030381 | Kristian Shumate | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2018-01-09 |
| 1710374988 | Kimberly Charo | Registered Nurse | 5024 W Hawthorne Ave, Hillside, IL 60162-1010 | 2015-04-24 |
| Find all providers in zip 60162 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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|---|---|---|---|---|
| 1356489116 | Liza Dental Management Inc. | Clinic/Center | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.