CAROLYN ANN CONDIFF (NPI# 1073131926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073131926 |
| Entity Type | Individual |
| Full Name | CAROLYN ANN CONDIFF |
| Practice Address |
2424 S Pulaski Rd Chicago IL 60623-3718 |
| Mailing Address |
4848 S Drexel Blvd Apt 2w Chicago IL 60615-1708 |
| Practice Telephone | 7735210750 |
| Mailing Telephone | 7736555722 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020011855 | IL | Dental Providers |
| Street Address |
2424 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861512667 | Cook County | Clinic/Center | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-03-29 |
| 1609407691 | Cook County | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2020-01-29 |
| 1467907444 | Natividad Calixto | Social Worker | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2016-08-19 |
| 1124491873 | Alexandra M Reyes | Social Worker | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2015-11-03 |
| 1629383492 | Sijuwola Olayinka Ajinwun | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2010-08-17 |
| 1679885529 | Jessica Barreto | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2010-07-08 |
| 1669649521 | Vimarie Rodriguez | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2008-05-09 |
| 1336358175 | James Gerard Donahue | Counselor | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-05-21 |
| 1174645568 | Robert James Walsh | Physician Assistant | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-04-04 |
| 1417077512 | Kristine M. Healy | Physician Assistant | 2424 S Pulaski Rd, Dr. Jorge Prieto Family Health Center, Chicago, IL 60623-3718 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504192 | Laura M Scully | Dental Hygienist | 7013 W Farragut Ave, Chicago, IL 60656-1923 | 2019-08-19 |
| 1982269551 | Elisabeth Raya | Dental Hygienist | 1950 W Polk St Ste 1000, Chicago, IL 60612-3723 | 2019-05-08 |
| 1477009793 | Shawanda Carothers | Dental Hygienist | 8321 S. Hermitage Ave, Chicago, IL 60620-4630 | 2016-08-28 |
| 1033664420 | Rozalia Orlof | Dental Hygienist | 5415 N Neva Ave, Chicago, IL 60656-1934 | 2016-08-16 |
| 1053865865 | Gina Marie Misch | Dental Hygienist | 6535 W 60th St, Chicago, IL 60638-3313 | 2016-08-09 |
| 1255785994 | Daviliqua Thomas | Dental Hygienist | 7215 N Bell Ave, Chicago, IL 60645-2046 | 2016-04-19 |
| 1063889228 | Allison Winters | Dental Hygienist | 1741 W 93rd St, Chicago, IL 60643-5851 | 2015-08-24 |
| 1265784151 | Van Anh Nguyen | Dental Hygienist | 6074 N Troy St., Chicago, IL 60659 | 2012-10-03 |
| 1013262401 | Alfredo Carrasquillo | Dental Hygienist | 4104 W Nelson St, Chicago, IL 60641-5441 | 2012-07-21 |
| 1326318718 | Althea Brinker-thomas | Dental Hygienist | 3851 W Ogden Ave, Attn: Dental Dept, Chicago, IL 60623-2459 | 2012-01-03 |
| Find all providers in CHICAGO | ||||
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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.