PROCARE DENTAL GROUP, P.C. (NPI# 1245304450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245304450 |
| Entity Type | Organization |
| Organization Name | PROCARE DENTAL GROUP, P.C. |
| Other Organization Name | BOONECREEK DENTISTRY |
| Practice Address |
5404 W Elm St Ste F Mchenry IL 60050-4052 |
| Mailing Address |
605 E Algonquin Rd Ste 300 Arlington Heights IL 60005-4373 |
| Practice Telephone | 8157590871 |
| Practice Fax Number | 8157590875 |
| Mailing Telephone | 8476401112 |
| Mailing Fax Number | 8476401107 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT G BRUNETTI (CEO) |
| Authorized Official Telephone | 8476401112 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| BooneCreek Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528246212 | Procare Dental Group, P.C. | Dentist | 434 West Ontario Street, Ste 300, Chicago, IL 60654 | 2008-02-05 |
| 1669539904 | Procare Dental Group, P.C. | Dentist | 805 Mchenry Ave, Crystal Lake, IL 60014-9794 | 2007-01-03 |
| 1821160904 | Procare Dental Group, P.C. | Dentist | 1057 N Northwest Hwy, Park Ridge, IL 60068-1805 | 2006-11-14 |
| 1114975828 | Procare Dental Group, P.C. | Dentist | 605 E Algonquin Rd, Suite 300, Arlington Heights, IL 60005-4373 | 2006-05-05 |
| 1841357084 | Procare Dental Group, P.C. | Dentist | 820 Davis St, Ste 460, Evanston, IL 60201-4431 | 2007-01-03 |
| 1578620712 | Procare Dental Group, P.C. | Dentist | 2266 N Lincoln Ave, Unit 1, Chicago, IL 60614-3718 | 2007-01-03 |
| 1124185467 | Procare Dental Group, P.C. | Dentist | 5445 Grand Ave, Ste 202, Gurnee, IL 60031-1725 | 2007-01-03 |
| 1912064155 | Procare Dental Group, P.C. | Dentist | 115 S Grove Ave, Ste 204, Elgin, IL 60120-6430 | 2007-01-03 |
| 1649337882 | Procare Dental Group, P.C. | Dentist | 5301 E State St, Ste 307a, Rockford, IL 61108-2901 | 2007-01-03 |
| 1811054059 | Procare Dental Group, P.C. | Dentist | 715 Ela Rd, Ste 1a, Lake Zurich, IL 60047-6300 | 2007-01-03 |
| Street Address |
5404 W ELM ST STE F |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770541369 | Andrea Sue Clem | Family Medicine | 5404 W Elm St, Suite Q, Mchenry, IL 60050-4052 | 2006-05-03 |
| 1598321622 | Jaimie V Senese | Counselor | 5404 W Elm St, Mchenry, IL 60050-4052 | 2019-05-14 |
| 1114492303 | Carly Wolfram | Psychologist | 5404 W Elm St, Mchenry, IL 60050-4052 | 2018-10-04 |
| 1720252224 | Charles J Tannenbaum | Dentist | 5404 W Elm St, Ste F, Mchenry, IL 60050-4052 | 2008-04-15 |
| 1497860951 | Jeanne Marie Browning | Registered Nurse | 5404 W Elm St, Suite Q, Mchenry, IL 60050-4052 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1316375843 | Star Smile P.C. | Dentist | 1311 N Green St, Mchenry, IL 60050-4452 | 2013-10-18 |
| 1043506496 | Jubrail Kamil Sweis | Dentist | 727 Ridgeview Dr, Mchenry, IL 60050-7054 | 2011-06-23 |
| 1568613297 | Yong Suk Chang | Dentist | 712 Front St, Easy Dental Care LLC, Mchenry, IL 60050-5530 | 2008-09-30 |
| 1245481977 | Easy Dental Care LLC | Dentist | 712 Front Street, Mchenry, IL 60050-5530 | 2008-09-30 |
| 1649437443 | Dwight Wesley Wernquist | Dentist | 4302 D Crystal Lk Rd, Mchenry, IL 60050 | 2008-05-20 |
| 1205050648 | Theresa C Hauck | Dentist | 4310 Crystal Lake Road, Suite B, Mchenry, IL 60050 | 2007-04-13 |
| 1427123447 | John V Dano | Dentist | 601 Ridgeview Dr, Mchenry, IL 60050-7010 | 2006-11-22 |
| 1689743247 | Daryl Ashbeck | Dentist | 2302 N Richmond Rd, Mchenry, IL 60051-5403 | 2006-11-07 |
| 1295245736 | Mia Stone | Dentist | 2964 Commerce Dr, Mchenry, IL 60051-5409 | 2017-10-11 |
| 1639693237 | Harshil V Patel | Dentist | 727 Ridgeview Dr, Mchenry, IL 60050-7054 | 2017-07-26 |
| Find all providers in MCHENRY | ||||
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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.