DR. ANDRE ELIAS GARCIA (NPI# 1154706364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154706364 |
| Entity Type | Individual |
| Full Name | DR. ANDRE ELIAS GARCIA |
| Credential | DMD |
| Practice Address |
3355 W Pratt Ave Lincolnwood IL 60712-3828 |
| Practice Telephone | 2245228484 |
| Mailing Telephone | 2245228484 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019030360 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE NUMBER | 019030360 | 01 |
| IL | CONTROLLED SUBSTANCE LICENSE | 319019588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265587539 | Andre Sebastian Garcia | Non-emergency Medical Transport (VAN) | 7516 Debutante Ln, Sacramento, CA 95828-4540 | 2007-01-24 |
| 1780215749 | Andre Garcia | Physical Therapy Assistant | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-01-29 |
| 1982108031 | Andre Xavier Garcia | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2018-03-22 |
| 1497921068 | Andre Garcia | Case Manager/Care Coordinator | 2976 Northern Blvd, Long Island City, NY 11101-2822 | 2008-05-05 |
| Street Address |
3355 W PRATT AVE |
| City | LINCOLNWOOD |
| State | IL |
| Zip Code | 60712-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265522924 | Mary G. Raptis-garcia | Pharmacist | 3355 W Pratt Ave, Lincolnwood, IL 60712-3828 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1538652441 | Elysium Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7366 N Lincoln Ave Ste 304, Lincolnwood, IL 60712 | 2018-06-14 |
| 1851805253 | Jasmine Lukose | Nurse Practitioner | 6501 N. Lincoln Ave, Lincolnwood, IL 60712 | 2017-11-21 |
| 1982134425 | Sana Baig | Dentist | 4368 W Touhy Ave, Lincolnwood, IL 60712 | 2017-06-18 |
| 1447640081 | Soghra Sorouri | Dentist | 6838 N. Kilpatrick Ave, Lincolwood, IL 60712 | 2015-02-04 |
| 1164839239 | Sunrise Nursing & Rehabilitation Center | Skilled Nursing Facility | 7383 N Lincon Ave, Suite 100, Lincolnwood, IL 60712 | 2014-07-21 |
| 1013328079 | Lawrence S. Reiner | Dentist | 4751 W. Touhy Ave, Lincolnwood, IL 60712 | 2014-05-13 |
| 1437430121 | Susan B Sorisho | Pharmacist | 7318 N East Prairie Rd, Lincolnwood, IL 60712 | 2011-09-08 |
| 1922338623 | Dean Medical, Sc | Internal Medicine | 6501 N. Sauganash, Lincolnwood, IL 60712 | 2010-01-04 |
| 1134456064 | Leah Brennan | Marriage & Family Therapist | 6834 N. Lowell Ave., Lincolnwood, IL 60712 | 2009-11-13 |
| Find all providers in zip 60712 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397031 | Chicago Mall Dental Associates, LLC | Dentist | 3333 W Touhy Ave Unit G01, Lincolnwood, IL 60712-2753 | 2017-10-13 |
| 1982134425 | Sana Baig | Dentist | 4368 W Touhy Ave, Lincolnwood, IL 60712 | 2017-06-18 |
| 1013328079 | Lawrence S. Reiner | Dentist | 4751 W. Touhy Ave, Lincolnwood, IL 60712 | 2014-05-13 |
| 1174728216 | Ruba M Maatouk | Dentist | 6835 N Lincoln Ave, Lincolnwood, IL 60712-2623 | 2007-06-19 |
| 1487866190 | Olya Julie Zahrebelny | Dentist | 6712 N Keating Ave, Lincolnwood, IL 60712-3306 | 2007-05-04 |
| 1801263090 | Chicago Mall Dental, LLC | Dentist | 3333 W Touhy Ave, Lincolnwood, IL 60712-2721 | 2015-08-24 |
| 1811162647 | Ruba M. Maatouk Dds Sc | Dentist | 6835 N Lincoln Ave, Lincolnwood, IL 60712-2623 | 2008-04-23 |
| 1619017431 | Margarita Emilia Chuy | Dentist | 3919 W Touhy Ave, Lincolnwood, IL 60712-1027 | 2007-02-08 |
| 1295890465 | Robert Alan Kurtz | Dentist | 6677 N Lincoln Ave, Suite 300, Lincolnwood, IL 60712-3619 | 2006-12-27 |
| 1497827059 | Hollywood Smile Ltd | Dentist | 6439 N Cicero Ave, Lincolnwood, IL 60712-3407 | 2006-11-15 |
| Find all providers in LINCOLNWOOD | ||||
| City | LINCOLNWOOD |
| Zip Code | 60712 |
Please comment or provide details below to improve the information on DR. ANDRE ELIAS GARCIA.
| 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.