DR. BASEM BRUCE ABDULLAH (NPI# 1104846609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104846609 |
| Entity Type | Individual |
| Full Name | DR. BASEM BRUCE ABDULLAH |
| Credential | D.D.S. |
| Practice Address |
605 E Algonquin Rd Suite 400 Arlington Heights IL 60005-4373 |
| Mailing Address |
225 E 7th St Hinsdale IL 60521-4614 |
| Practice Telephone | 8476401122 |
| Practice Fax Number | 8476401160 |
| Mailing Telephone | 6302475303 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
019-020579 | IL | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
02101463 | IL | Dental Providers |
| Street Address |
605 E ALGONQUIN RD SUITE 400 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114975828 | Procare Dental Group, P.C. | Dentist | 605 E Algonquin Rd, Suite 300, Arlington Heights, IL 60005-4373 | 2006-05-05 |
| 1609145283 | Michael P Munaretto | Dentist | 605 E Algonquin Rd, 300, Arlington Heights, IL 60005-4373 | 2011-12-28 |
| 1649508276 | Moayad Saleh Alomar | Dentist | 605 E Algonquin Rd, Ste 300, Arlington Heights, IL 60005-4373 | 2009-11-19 |
| 1033341615 | Robert G Brunetti | Dentist | 605 E Algonquin Rd, Ste 300, Arlington Heights, IL 60005-4373 | 2009-08-17 |
| 1215166475 | Nicholas Gerald Romenesko | Dentist | 605 E Algonquin Rd, Ste 400, Arlington Heights, IL 60005-4373 | 2009-07-09 |
| 1558428730 | Procare Dental Group, P.C. | Dentist | 605 E Algonquin Rd, Ste 400, Arlington Heights, IL 60005-4373 | 2007-01-03 |
| 1992718894 | Joseph W Lehman | Dentist | 605 E Algonquin Rd, Ste 400, Arlington Heights, IL 60005-4373 | 2006-08-14 |
| 1083639389 | Vito G Giustino | Dentist | 605 E Algonquin Rd, Ste 400, Arlington Heights, IL 60005-4373 | 2006-07-13 |
| 1669407961 | David Kravtsov | Dentist | 605 E Algonquin Rd, Suite 400, Arlington Heights, IL 60005-4373 | 2006-07-12 |
| 1831133065 | Bozena Sutkowski | Dentist | 605 E Algonquin Rd, Suite 400, Arlington Heights, IL 60005-4373 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
| 1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
| 1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
| 1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
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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.