CHRISMAN DENTAL CARE PC


Address: 122 W Madison Ave, Chrisman, IL 61924-1118
Phone: 2172692432

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
IL Ambulatory Health Care Facilities

Office Location

Street Address 122 W MADISON AVE
City CHRISMAN
State IL
Zip Code 61924-1118

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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
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City CHRISMAN
Zip Code 61924

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Dataset Information

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.

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