MARK J PELOQUIN (NPI# 1346269008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346269008 |
| Entity Type | Individual |
| Full Name | MARK J PELOQUIN |
| Credential | D.D.S. |
| Practice Address |
15915 S Crystal Creek Dr Ste B Homer Glen IL 60491-9381 |
| Practice Telephone | 7083018660 |
| Practice Fax Number | 7083018661 |
| Mailing Telephone | 7083018660 |
| Mailing Fax Number | 7083018661 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
15915 S CRYSTAL CREEK DR STE B |
| City | HOMER GLEN |
| State | IL |
| Zip Code | 60491-9381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265442255 | Susan A. Carroll | Dentist | 15915 S Crystal Creek Dr Ste B, Homer Glen, IL 60491-9381 | 2006-08-09 |
| 1306865076 | Edward J. Brennan | Dentist | 15915 S Crystal Creek Dr Ste B, Homer Glen, IL 60491-9381 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490681 | Kellie Calderon | Counselor | 14007 S Bell Rd Ste 183, Homer Glen, IL 60491 | 2016-11-21 |
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1700137783 | Nicole Marie Karn | Physical Therapy Assistant | 14319 Twin Creek Lane, Homer Geln, IL 60491 | 2012-10-01 |
| 1992062061 | South Suburban Hearing, Inc | Hearing Instrument Specialist | 14316 S. Will-cook Rd, Homer Glen, IL 60491 | 2012-04-13 |
| 1336417385 | Crystal Knaack | Pharmacist | 13911 W 167th St, Homer Glen, IL 60491 | 2011-12-06 |
| 1891976429 | Toothworks Inc | Dentist | 12626 W 159th St, Homer Glen, IL 60491 | 2007-11-26 |
| 1972639441 | Barbara A Bayer | Social Worker | 13528 Marissa Ct, Homer Glen, IL 60491 | 2007-02-26 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1720006752 | Judith Polkow | Physical Therapist | 14821 S. Founders Crossing, Homer Glen, IL 60491 | 2006-07-17 |
| 1518902188 | Allen Ophthalmic Group | Ophthalmology | 15933 South Bell Road, Homer Glen, IL 60491 | 2006-06-18 |
| Find all providers in zip 60491 | ||||
| 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 |
|---|---|---|---|---|
| 1588055941 | Ashton Dental PC | Dentist | 14403 S Bell Rd, Homer Glen, IL 60491-7881 | 2015-02-06 |
| 1568635118 | Alan Robert De Angelo | Dentist | 14232 S Bell Rd, Homer Glen, IL 60491-8122 | 2008-04-03 |
| 1386794097 | Harry William Oryhon | Dentist | 14811 S Founders Crossing, Homer Glen, IL 60491-9623 | 2007-01-12 |
| 1982711073 | Kenneth J Kirsch | Dentist | 15801 S Bell Rd, Suite 200, Homer Glen, IL 60491-7648 | 2006-08-24 |
| 1871588517 | Wayne Robert Helge | Dentist | 15748 S Bell Rd, Homer Glen, IL 60491-8400 | 2005-09-19 |
| 1164045993 | Inas Mohammed Rahima | Dentist | 14403 S Bell Rd, Homer Glen, IL 60491-7881 | 2020-05-27 |
| 1104473966 | Candace Susan Ruff | Dentist | 14403 S Bell Rd, Homer Glen, IL 60491-7881 | 2019-08-26 |
| 1053834606 | Nisreen Jaweesh | Dentist | 13557 Parkland Ct, Homer Glen, IL 60491-7577 | 2017-07-25 |
| 1578602066 | Homer-lockport Dental Associates, Inc. | Dentist | 12701 W 143rd St, Homer Glen, IL 60491-7808 | 2007-02-05 |
| 1366525248 | Mary Ellen Hoye | Dentist | 15927 S Bell Rd, Homer Glen, IL 60491-6707 | 2006-10-23 |
| Find all providers in HOMER GLEN | ||||
| City | HOMER GLEN |
| Zip Code | 60491 |
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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.