JUST SMILES LTD (NPI# 1306483433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306483433 |
| Entity Type | Organization |
| Organization Name | JUST SMILES LTD |
| Practice Address |
2133 S 17th Ave Broadview IL 60155-3019 |
| Practice Telephone | 7088650200 |
| Practice Fax Number | 7088651730 |
| Mailing Telephone | 7088650200 |
| Mailing Fax Number | 7088651730 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | KIMIKA WESLEY (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 7088650200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2133 S 17TH AVE |
| City | BROADVIEW |
| State | IL |
| Zip Code | 60155-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952454084 | Monique Currie Tucker | Dentist | 2133 S 17th Ave, Broadview, IL 60155-3019 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176121 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915-17 W. Roosevelt Rd., Broadview, IL 60155 | 2015-02-06 |
| 1821379736 | Living Healthy Inc | Registered Nurse | 2205 W Roosevelt Road, Broadview, IL 60155 | 2011-09-06 |
| 1023324530 | Erin Reynolds | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2010-08-20 |
| 1285862490 | Patricia M Moser Od PC | Optometrist | 122-24 Broadview Village Square, Broadview, IL 60155 | 2009-06-25 |
| 1295762417 | Kiran Ram Bais | Family Medicine | 2127 S 17th Ave, Broadview, IL 60155 | 2006-06-26 |
| 1982092698 | Tiffany R Budzinski | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2015-01-05 |
| 1760789853 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2011-02-25 |
| 1083121263 | Lisa A Ufkes | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2018-01-09 |
| 1093720203 | Walgreen Co | Pharmacy | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2006-07-29 |
| 1467739904 | Brian Kubeczko | Pharmacist | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2011-11-11 |
| Find all providers in zip 60155 | ||||
| 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 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
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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.