HOWARD L BLIVAISS DDS AND ASSOCIATES PC (NPI# 1154481182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154481182 |
| Entity Type | Organization |
| Organization Name | HOWARD L BLIVAISS DDS AND ASSOCIATES PC |
| Practice Address |
3500 W Peterson Ave Suite 200 Chicago IL 60659-3306 |
| Practice Telephone | 7735091234 |
| Practice Fax Number | 7735090495 |
| Mailing Telephone | 7735091234 |
| Mailing Fax Number | 7735090495 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HOWARD L BLIVAISS (PRESIDENT) |
| Authorized Official Telephone | 7735091234 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
IL | Ambulatory Health Care Facilities |
| Street Address |
3500 W PETERSON AVE SUITE 200 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980964 | Jennifer K Bulmann | Optometrist | 3500 W Peterson Ave, Ste 401, Chicago, IL 60659-3306 | 2005-08-24 |
| 1861785123 | Resurrection Services | Family Medicine | 3500 W Peterson Ave, Suite 300, Chicago, IL 60659-3306 | 2011-05-19 |
| 1568647220 | Charles S Ovitsky P C | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2007-12-31 |
| 1144419847 | Julie Bruce | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2007-10-18 |
| 1922168954 | Howard L Blivaiss | Dentist | 3500 W Peterson Ave, Suite 200, Chicago, IL 60659-3306 | 2006-12-11 |
| 1982777306 | Lawrence M Magee | Optometrist | 3500 W Peterson Ave, Ste 401, Chicago, IL 60659 | 2006-11-15 |
| 1720151152 | Ralph John Gebert | Optometrist | 3500 W Peterson Ave, Ste 401, Chicago, IL 60659 | 2006-11-15 |
| 1558313189 | Charles S Ovitsky | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2006-05-16 |
| 1821049693 | Charles Ovitsky | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2006-05-15 |
| 1912976044 | Marianna Bilis | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| 1245858695 | Versiani Dental PC | Clinic/Center | 2340 N California Ave, Chicago, IL 60647-6622 | 2020-07-13 |
| 1710513478 | Ethicadent | Clinic/Center | 6418 W Belmont Ave Ste 101, Chicago, IL 60634-4099 | 2020-03-13 |
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1750912671 | Wicker Park Dental Studio | Clinic/Center | 1282 N Milwaukee Ave, Chicago, IL 60622-9319 | 2020-01-29 |
| 1811535404 | Secure Dental Vi | Clinic/Center | 3540 N Ashland Ave, Chicago, IL 60657-1314 | 2019-12-15 |
| 1154972768 | David K Mayes D.d.s L.t.d. | Clinic/Center | 9101 S Western Ave # 2ndfl, Chicago, IL 60643-6751 | 2019-09-25 |
| 1235787730 | Alta Dental LLC | Clinic/Center | 5892 S Archer Ave, Chicago, IL 60638-1658 | 2019-08-28 |
| 1982257218 | Allure Dental Lincoln Park | Clinic/Center | 558 W Diversey Pkwy, Chicago, IL 60614-1678 | 2019-07-16 |
| 1568026656 | Cjn Loop Dental Ltd | Clinic/Center | 30 N Michigan Ave Ste 622, Chicago, IL 60602-3821 | 2019-04-24 |
| 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.