RAJIV PURI PC (NPI# 1356786743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356786743 |
| Entity Type | Organization |
| Organization Name | RAJIV PURI PC |
| Practice Address |
849 S Route 59 Bartlett IL 60103 |
| Practice Telephone | 6303729800 |
| Mailing Telephone | 6303729800 |
| Mailing Fax Number | 6303720600 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | DR. RAJIV PURI (DENTIST) |
| Authorized Official Telephone | 6306161020 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | RAJIV PURI PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19026692 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1750428009 | 05 |
| Street Address |
849 S ROUTE 59 |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| 1437383882 | Jennifer L. Bryant | Physical Therapist | 1110 W. Schick Rd., Bartlett, IL 60103 | 2009-05-13 |
| Find all providers in zip 60103 | ||||
| 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 |
|---|---|---|---|---|
| 1922591247 | Meha Patel | Dentist | 262 Windsor Dr, Bartlett, IL 60103-5181 | 2018-06-11 |
| 1194061481 | Albert Mategrano Jr. | Dentist | 164 Bartlett Plz, Bartlett, IL 60103-4324 | 2012-12-14 |
| 1104122241 | Ashraf A Husein | Dentist | 2965 North Germantown Road, Suite 129, Bartlett, TN 38133-4002 | 2011-02-08 |
| 1750578027 | Robert Allen Witherspoon | Dentist | 4100 Hidden Fern Ln N, Bartlett, TN 38135-9101 | 2007-10-01 |
| 1316145501 | Dan B. Hilo | Dentist | 260 E Army Trail Rd Ste A, Bartlett, IL 60103-3005 | 2007-07-10 |
| 1255536603 | Stanley R. Crunk | Dentist | 3051 Kirby Whitten Rd, Suite #4, Bartlett, TN 38134-2811 | 2007-06-17 |
| 1538389994 | David A Ascher | Dentist | 323 Railroad Avenue, Bartlett, IL 60103 | 2007-04-26 |
| 1790903151 | Albert Mategrano | Dentist | 164 Bartlett Plaza, Bartlett, IL 60103 | 2007-04-23 |
| 1346467131 | Grayson Scott Ross | Dentist | 78519 Highway 64, Bartlett, TN 38134 | 2007-04-20 |
| 1881723211 | Ashraf Alayan Husein | Dentist | 2965 N Germantown Rd, Suite 129, Bartlett, TN 38133-4055 | 2007-03-02 |
| Find all providers in BARTLETT | ||||
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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.