THERESA LAO (NPI# 1275684367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275684367 |
| Entity Type | Individual |
| Full Name | THERESA LAO |
| Credential | D.D.S. |
| Practice Address |
1990 Army Trail Rd Hanover Park IL 60133-8974 |
| Mailing Address |
1n141 County Farm Rd Suite 150 Winfield IL 60190-2032 |
| Practice Telephone | 6303722090 |
| Mailing Telephone | 6305881700 |
| Mailing Fax Number | 6305881700 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-021716 | IL | Dental Providers |
| Street Address |
1990 ARMY TRAIL RD |
| City | HANOVER PARK |
| State | IL |
| Zip Code | 60133-8974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302922 | Mangal Dhami | Pharmacist | 1877 Grosse Pointe Circle, Hanove Park, IL 60133 | 2015-12-07 |
| 1649588260 | Church Street Station Skilled Nursing and Living Center, LLC | Skilled Nursing Facility | 2000 W. Lake St., Hanover Park, IL 60133 | 2010-09-16 |
| 1578603395 | Shyam V N Rao | Dentist | 1601 Tanglewood Avenue, Hanover Park, IL 60133 | 2007-02-08 |
| 1851458939 | Robert Jan Bazan | Dentist | 2260 W Irving Pk Rd, Hanover Pk, IL 60133 | 2007-01-02 |
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| 1225120462 | Hanover Park Physical Medicine & Rehabilitation Ltd | Chiropractor | 1802 Irving Park Road, Hanover Park, IL 60133 | 2006-09-28 |
| 1447350830 | Ismail E Atcha | Internal Medicine | 5420 Cloverdale Road, Hanover Park, ILLINOIS 60133 | 2006-09-25 |
| 1013013374 | Antonio B Cruz | General Practice | 1601 Tanglewood, Suite 106, Hanover Park, IL 60133 | 2006-09-15 |
| 1326143223 | Matthew J Faith | Dentist | 1645 Irving Park Road, Hanover Park, IL 60133 | 2006-09-14 |
| 1992818827 | Ketan Narandas Jobanputra | Obstetrics & Gynecology | 1515 West Lake Street, #208, Alexian Brothers' Hospital Pavilion, Hanover Park, IL 60133 | 2006-08-16 |
| Find all providers in zip 60133 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811228166 | Hanover Dental PC | Dentist | 7640 Barrington Rd, Hanover Park, IL 60133-2213 | 2010-01-27 |
| 1427047489 | Shirali Minesh Patel | Dentist | 1098 E Lake St, Hanover Park, IL 60133-5431 | 2005-10-20 |
| 1497095293 | Faith Dental Group, Ltd | Dentist | 1645 Irving Park Rd, Hanover Park, IL 60133-3382 | 2013-02-15 |
| 1669721502 | Star Dental P.C. | Dentist | 6602 Barrington Rd, Suit G, Hanover Park, IL 60133-3900 | 2012-09-06 |
| 1770897431 | Hojung Kim | Dentist | 1290 Bamburg Ct, Hanover Park, IL 60133-5257 | 2010-08-04 |
| 1265751291 | Sayali Bhatwadekar | Dentist | 7640 Barrington Rd, Hanover Park, IL 60133-2213 | 2010-06-01 |
| 1023345568 | Georgetown Dental LLC | Dentist | 7212 Edgebrook Ln, Hanover Park, IL 60133-3751 | 2009-11-04 |
| 1841464617 | Hanover Park Dental Clinic, LLC | Dentist | 1098 E Lake St, Hanover Park, IL 60133-5431 | 2008-04-14 |
| 1720283047 | Greenbrook Dental | Dentist | 1290 Bamburg Ct, Hanover Park, IL 60133-5257 | 2007-06-18 |
| 1326164682 | Edwin Anthony Karch Jr. | Dentist | 1601 Tanglewood Ave, Suite 100, Hanover Park, IL 60133-3381 | 2007-03-21 |
| Find all providers in HANOVER PARK | ||||
| City | HANOVER PARK |
| Zip Code | 60133 |
Please comment or provide details below to improve the information on THERESA LAO.
| 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.