MCHENRY DENTAL SPECIALISTS LLC (NPI# 1356440911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356440911 |
Entity Type | Organization |
Organization Name | MCHENRY DENTAL SPECIALISTS LLC |
Practice Address |
5400 W Elm St Suite 210 Mchenry IL 60050 |
Practice Telephone | 8153859620 |
Practice Fax Number | 8153859643 |
Mailing Telephone | 8153859620 |
Mailing Fax Number | 8153859643 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. NORMAN L ESKOZ (ENDODONTIST) |
Authorized Official Telephone | 8153859620 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
X | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Street Address |
5400 W ELM ST SUITE 210 |
City | MCHENRY |
State | IL |
Zip Code | 60050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730100033 | Robert L Epstein | Ophthalmology | 5400 W Elm St, Ste 120, Mchenry, IL 60050-4010 | 2006-07-21 |
1750891263 | Elizabeth Ruth Wilber | Counselor | 5400 W Elm St, Mchenry, IL 60050-4010 | 2017-10-10 |
1083156954 | Taylor Faust | Counselor | 5400 W Elm St, 104, Mchenry, IL 60050-4010 | 2016-11-09 |
1336694108 | The Center for Corrective Eye Surgery, LLC | Ophthalmology | 5400 W Elm St, Suite 120, Mchenry, IL 60050-4010 | 2016-08-22 |
1568834430 | Neda Jamehdor | Hearing Instrument Specialist | 5400 W Elm St, Ste 205, Mchenry, IL 60050-4049 | 2015-10-30 |
1518210111 | Connect Hearing, Inc. | Audiologist | 5400 W Elm St, Suite 205, Mchenry, IL 60050-4010 | 2012-10-19 |
1649527854 | Laura Beth Marx | Audiologist | 5400 W Elm St, Ste 205, Mchenry, IL 60050-4010 | 2012-08-07 |
1124116470 | Norman L. Eskoz | Dentist | 5400 W Elm St, Suite 210, Mchenry, IL 60050-4010 | 2006-10-11 |
1407944762 | Aldo M. Sbigoli | Dentist | 5400 W Elm St, Suite 210, Mchenry, IL 60050-4010 | 2006-10-11 |
1336152966 | Michael Derek Sturt | Dentist | 5400 W Elm St, Ste 212, Mchenry, IL 60050-4010 | 2006-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124116470 | Norman L. Eskoz | Dentist | 5400 W Elm St, Suite 210, Mchenry, IL 60050-4010 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089777 | Sebastian Przybylo, Dmd, Pllc | Dentist | 350 S Northwest Hwy Ste 116, Park Ridge, IL 60068-4262 | 2020-09-24 |
1770126740 | Old Orchard Endodontics | Dentist | 4905 Old Orchard Ctr Ste 216, Skokie, IL 60077-4741 | 2019-10-23 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
1518488055 | Seth Thomas Barnett | Dentist | 3601 General Electric Rd Ste 6, Bloomington, IL 61704-8566 | 2017-07-06 |
1023562857 | Jwwdental LLC | Dentist | 808 E Woodfield Rd, Suite 300, Schaumburg, IL 60173-4816 | 2016-08-10 |
1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
1619360096 | Rajan Sharma | Dentist | 6319 Fairview Ave Ste 103, Westmont, IL 60559-2889 | 2015-03-10 |
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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.