DR. JOHN T POLACEK (NPI# 1386606713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386606713 |
| Entity Type | Individual |
| Full Name | DR. JOHN T POLACEK |
| Credential | DDS |
| Practice Address |
539 N La Grange Road La Grange Park IL 60526 |
| Practice Telephone | 7083541070 |
| Practice Fax Number | 3083541081 |
| Mailing Telephone | 7083541070 |
| Mailing Fax Number | 7083541081 |
| Enumeration Date | 2006-04-03 |
| 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 |
539 N LA GRANGE ROAD |
| City | LA GRANGE PARK |
| State | IL |
| Zip Code | 60526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073944344 | Emily Patricia Monteagudo Crohn | Speech-Language Pathologist | 901 Forest Rd, La Grange Park, IL 60526 | 2013-12-11 |
| 1821334830 | Erelin M Deang | Behavioral Analyst | 306 N. Kensington Ave., La Grange Park, IL 60526 | 2012-12-19 |
| 1013168129 | Regan Thompson | Specialist | 11 Garden Drive #4, La Grange Park, IL 60526 | 2008-10-07 |
| 1437379724 | Manuel A.malicay Md Sc | Internal Medicine | 430 N. Sherwood Road, La Grage Park, IL 60526 | 2007-04-27 |
| 1790861383 | Pinnacle Healthcare of La Grange | Skilled Nursing Facility | 701 N La Grange Rd, La Grange Park, IL 60526 | 2006-10-27 |
| 1285681734 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 507 Woodlawn Dr, La Grange Park, IL 60526 | 2006-05-30 |
| 1326526534 | Samantha L Ylagan | Occupational Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-07-31 |
| 1396236139 | Mary B Cipolla | Physical Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-05-29 |
| 1376738823 | Francis James Di Iorio | Chiropractor | 48 E 31st St, La Grange Park, IL 60526 | 2007-09-07 |
| 1609068311 | Carry Ellen Zaras | Speech-Language Pathologist | 1506 Deerpath Ln, La Grange Park, IL 60526-1020 | 2007-08-16 |
| Find all providers in zip 60526 | ||||
| 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 |
|---|---|---|---|---|
| 1356807515 | Deval J Shah Dds Ltd | Dentist | 1012 E 31st St, La Grange Park, IL 60526-1217 | 2019-02-13 |
| 1326201278 | Brian Robert Sladek | Dentist | 410 Sherwood Rd, La Grange Park, IL 60526-1968 | 2008-07-09 |
| 1467615567 | William Charles Omerza | Dentist | 432 Sherwood Rd, La Grange Park, IL 60526-1968 | 2008-07-08 |
| 1356518179 | Albert A. Diepstra | Dentist | 342 Sherwood Rd, La Grange Park, IL 60526-1967 | 2008-05-12 |
| 1760554455 | Michael Kasper | Dentist | 539 N La Grange Rd, La Grange Park, IL 60526-5647 | 2006-11-15 |
| 1265707046 | Webster Dental Care | Dentist | 539 N La Grange Rd, Suite 1, La Grange Park, IL 60526-5647 | 2012-03-13 |
| 1013151901 | Lagrange Dental Management | Dentist | 342 Sherwood Rd, La Grange Park, IL 60526-1967 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | LA GRANGE PARK |
| Zip Code | 60526 |
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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.