CHRISMAN DENTAL CARE PC (NPI# 1326173030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326173030 |
Entity Type | Organization |
Organization Name | CHRISMAN DENTAL CARE PC |
Practice Address |
122 W Madison Ave Chrisman IL 61924-1118 |
Mailing Address |
122 W Madison Ave P.o. Box 15 Chrisman IL 61924-1118 |
Practice Telephone | 2172692432 |
Practice Fax Number | 2192692171 |
Mailing Telephone | 2172692432 |
Mailing Fax Number | 2192692171 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DARLENE C HILDEBRAND (DENTIST OWNER) |
Authorized Official Telephone | 2172692432 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
IL | Ambulatory Health Care Facilities |
Street Address |
122 W MADISON AVE |
City | CHRISMAN |
State | IL |
Zip Code | 61924-1118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992345243 | Jessica Young | Speech-Language Pathologist | 400 W Washington, Chrisman, IL 61924 | 2020-01-14 |
1447314653 | Hospital & Medical Foundation of Paris, Inc | Clinic/Center | 112 W Madison Ave, Chrisman, IL 61924 | 2006-12-21 |
1548472277 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 112 W Madison Ave, Chrisman, IL 61924 | 2007-05-04 |
1003941139 | Northern Edgar County Amb Ser | Ambulance | 110 S Iowa, Chrisman, IL 61924-0144 | 2007-02-22 |
1235155631 | Christian Homes, Inc. | Skilled Nursing Facility | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2006-07-15 |
1326478108 | Pleasant Meadows Senior Living LLC | Skilled Nursing Facility | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2013-11-15 |
1821379421 | Christian Homes, Inc. | Non-emergency Medical Transport (VAN) | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2011-09-09 |
1437465606 | Sandra M Medina | Occupational Therapy Assistant | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2010-08-26 |
1700037298 | Christian Homes, Inc. | Durable Medical Equipment & Medical Supplies | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2008-10-02 |
1861654816 | Jill Ellen Bosch | Occupational Therapy Assistant | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2008-07-01 |
Find all providers in zip 61924 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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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 |
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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.