DR. STEPHANIE M COLLETTA (NPI# 1316228687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316228687 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE M COLLETTA |
| Credential | D.D.S. |
| Practice Address |
10735 S Cicero Ave Suite 107 Oak Lawn IL 60453-5400 |
| Mailing Address |
1150 W 15th St Unit 234 Chicago IL 60608-3686 |
| Practice Telephone | 7084234110 |
| Mailing Telephone | 2066605093 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.028819 | IL | Dental Providers |
| Street Address |
10735 S CICERO AVE SUITE 107 |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386604577 | Center for Psychological Services - Oak Lawn Ltd | Clinic/Center | 10735 S Cicero Ave, Suite 208, Oak Lawn, IL 60453-5400 | 2006-03-23 |
| 1942725841 | Katherine Elizabeth Kelly | Counselor | 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 | 2017-08-11 |
| 1710416292 | Chloe Blasingame | Social Worker | 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 | 2017-06-08 |
| 1588104491 | Emily Gordon | Social Worker | 10735 S Cicero Ave, 208, Oak Lawn, IL 60453-5400 | 2017-02-27 |
| 1881146769 | Jeffrey R Glick | Counselor | 10735 S Cicero Ave, Suite # 208, Oak Lawn, IL 60453-5400 | 2016-10-26 |
| 1669925541 | Danielle Vaquer | Counselor | 10735 S Cicero Ave, 208, Oak Lawn, IL 60453-5400 | 2016-07-27 |
| 1427407279 | James Phelan | Counselor | 10735 S Cicero Ave, Suite 208, Oak Lawn, IL 60453-5400 | 2016-06-11 |
| 1851709612 | Kathleen Jeanette Murphy | Counselor | 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 | 2014-07-24 |
| 1255743654 | Lauren Dentzman | Counselor | 10735 S Cicero Ave, Suite 208, Oak Lawn, IL 60453-5400 | 2014-05-20 |
| 1902184740 | Thomas J Meyering Dds, P.C. | Dentist | 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 | 2011-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| 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 |
|---|---|---|---|---|
| 1740806066 | Hussien Ahmad | Dentist | 8841 Ridgeland Ave, Oak Lawn, IL 60453-1002 | 2020-06-23 |
| 1376192203 | Shazad S Al-kurdi | Dentist | 9539a S Cicero Ave, Oak Lawn, IL 60453-3136 | 2019-09-04 |
| 1467716506 | Meghan E Gaffney | Dentist | 4445 W. 95th Street, Oak Lawn, IL 60453-7219 | 2012-07-03 |
| 1932485356 | Erica Zolnierczyk | Dentist | 9719 Southwest Hwy, Oak Lawn, IL 60453-3614 | 2011-10-31 |
| 1326292509 | Thomas J. Remijas | Dentist | 9761 Southwest Hwy, Oak Lawn, IL 60453-3661 | 2008-11-13 |
| 1124270640 | Thomas John Salmon Sr. | Dentist | 4524 W. 95th Street, Oak Lawn, IL 60453 | 2008-10-15 |
| 1255504510 | Family Dental Center | Dentist | 8715 Ridgeland Ave, Oak Lawn, IL 60453-1001 | 2008-04-08 |
| 1972796654 | Oak Lawn Dental Group, P.C. | Dentist | 10220 S Cicero Ave, Suite 101, Oak Lawn, IL 60453-4082 | 2007-08-25 |
| 1326242884 | Perry E. Rossino | Dentist | 9101 S Cicero Ave, Oak Lawn, IL 60453-1804 | 2007-06-11 |
| 1750502365 | Gilbert Villasenor | Dentist | 10522 S. Cicero Ave, Oak Lawn, IL 60453-5200 | 2007-05-01 |
| Find all providers in OAK LAWN | ||||
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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.