PROGRESSIVE DENTAL & ASSOCIATES, PC (NPI# 1386201622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386201622 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE DENTAL & ASSOCIATES, PC |
| Other Organization Name | PROGRESSIVE DENTAL AND ASSOCIATES, PC |
| Practice Address |
20402 Crawford Ave Matteson IL 60443-1734 |
| Practice Telephone | 7087474294 |
| Practice Fax Number | 7087475223 |
| Mailing Telephone | 7087474294 |
| Mailing Fax Number | 7087475223 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | DR. ROBERT DERELL DURR (OWNER/DENTIST) |
| Authorized Official Telephone | 7087474294 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| PROGRESSIVE DENTAL and ASSOCIATES | Doing Business As Name - Organization |
| PROGRESSIVE DENTAL AND ASSOCIATES, PC | Doing Business As Name - Organization |
| Street Address |
20402 CRAWFORD AVE |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861655631 | Robert Derell Durr | Dentist | 20402 Crawford Ave, Matteson, IL 60443-1734 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790932 | All American Healthcare Corp | Durable Medical Equipment & Medical Supplies | 4440 211th St Ste 2307a, Matteson, IL 60443-2349 | 2020-08-11 |
| 1275153488 | Medical Equipment Pointe, LLC | Durable Medical Equipment & Medical Supplies | 4801 Southwick Dr Ste 250, Matteson, IL 60443-2104 | 2020-04-17 |
| 1093271538 | Natural Resemblance | Durable Medical Equipment & Medical Supplies | 43 Wedgewood Rd, Matteson, IL 60443-1077 | 2019-02-20 |
| 1700200698 | United Medical Equipment & Supplies,inc | Durable Medical Equipment & Medical Supplies | 245 Lincoln Mall Dr, Matteson, IL 60443-2328 | 2014-02-12 |
| 1497052906 | Vestora | Durable Medical Equipment & Medical Supplies | 430 Homeland Rd, Matteson, IL 60443-1883 | 2011-02-17 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| 1528276342 | Target Corporation | Durable Medical Equipment & Medical Supplies | 4647 Promenade Way, Relo 0869, Matteson, IL 60443-2981 | 2007-05-18 |
| 1033283999 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 4525 Lincoln Hwy, Matteson, IL 60443 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.