DR. MICHELLE HOWARD RYNN (NPI# 1285948356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285948356 |
Entity Type | Individual |
Full Name | DR. MICHELLE HOWARD RYNN |
Credential | DMD |
Practice Address |
5000 S 5th Ave Edward Hines Jr. Va Hospital Dental Service Hines IL 60141-3030 |
Practice Telephone | 7082028387 |
Practice Fax Number | 7082027165 |
Mailing Telephone | 7082028387 |
Mailing Fax Number | 7082027165 |
Enumeration Date | 2010-08-01 |
Last Update Date | 2016-06-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | DEN.00202730 | CO | Dental Providers |
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
019028370 | IL | Dental Providers |
Street Address |
5000 S 5TH AVE EDWARD HINES JR. VA HOSPITAL DENTAL SERVICE |
City | HINES |
State | IL |
Zip Code | 60141-3030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508865452 | Patricia M Knisley | Dietitian, Registered | 5000 S 5th Ave, Food and Nutrition Services (120d), Hines, IL 60141-3030 | 2005-07-21 |
1821699273 | Matthew Nakeem Williams | Registered Nurse | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-11-03 |
1225638877 | Christine Marie Desparrois | Technician/Technologist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-31 |
1558961565 | Maggie Elizabeth Murphy | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-28 |
1689273781 | Carrie Gatz | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-20 |
1124626304 | Anne Kathryn Thorndyke | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-11 |
1033726781 | Josmi Joseph | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-28 |
1558975003 | Phillip M Christenson | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
1730793266 | Tanya Elaine Pringle | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
1912518796 | Dana Viola Shepherd | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
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Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039947 | Yale Cho | Dentist | 17w110 22nd St Ste 150, Oakbrook Terrace, IL 60181-4454 | 2020-09-25 |
1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
1841848355 | Prime Dental Specialists | Dentist | 2638 Patriot Blvd, Glenview, IL 60026-8024 | 2019-08-28 |
1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
1396256350 | Christopher William Coffey | Dentist | 14600 S La Grange Rd Ste 5, Orland Park, IL 60462-2580 | 2017-10-18 |
1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
1578985495 | Fransiskus Andrianto Tjiptowidjojo | Dentist | 1901 N Roselle Rd Ste 110, Schaumburg, IL 60195-3179 | 2014-01-11 |
1386079689 | Bryan Jacobs | Dentist | 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734 | 2013-09-05 |
1790932325 | Samson Sol Flores | Dentist | 1415 Oakton St, Evanston, IL 60202-2720 | 2008-08-26 |
1396991196 | Lake Forest Dental Associates, PC | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1205 | 2008-08-12 |
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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.