DR. DOMINIK B DUBRAVEC (NPI# 1427122381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427122381 |
| Entity Type | Individual |
| Full Name | DR. DOMINIK B DUBRAVEC |
| Credential | DDS, MMSC |
| Practice Address |
555 W Court St Suite 202 Kankakee IL 60901-3664 |
| Practice Telephone | 8159320554 |
| Practice Fax Number | 8159320976 |
| Mailing Telephone | 8159320554 |
| Mailing Fax Number | 8159320976 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers |
| Street Address |
555 W COURT ST SUITE 202 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802349 | Martin T Phillips | Internal Medicine | 555 W Court St, Suite 108, Kankakee, IL 60901-3664 | 2005-09-22 |
| 1083972863 | Michel H. Malek, M.d. PC | Non-Pharmacy Dispensing Site | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2012-04-30 |
| 1194035360 | Michel H. Malek, Md Sc | Neurological Surgery | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2010-10-20 |
| 1902112535 | Fabiola Maria Del Carmen Espinoza | Internal Medicine | 555 W Court St, Suite 108, Kankakee, IL 60901-3664 | 2010-08-20 |
| 1053623801 | Community Pain Consultants, Ltd | Specialist | 555 W Court St, Suite 100, Kankakee, IL 60901-3664 | 2010-07-09 |
| 1518296938 | Donald E Krause Dds Ltd | Clinic/Center | 555 W Court St, Suite 102, Kankakee, IL 60901-3664 | 2009-12-14 |
| 1982844684 | Kankakee Pain Surgical Suite, LLC | Clinic/Center | 555 W Court St, Suite 100, Kankakee, IL 60901-3664 | 2009-02-20 |
| 1255578118 | Kankakee Area Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 555 W Court St, Ste 101, Kankakee, IL 60901-3664 | 2009-01-14 |
| 1457519969 | Consultants In Pathology Sc | Pathology | 555 W Court St, Suite 300, Kankakee, IL 60901-3664 | 2008-05-30 |
| 1114127800 | Misbah Uddin Ahmed Md Sc | Internal Medicine | 555 W Court St, Ste 200, Kankakee, IL 60901-3664 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
| 1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
| 1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
| 1417377417 | Kate Quinlin | Dentist | 939 W North Ave Ste 700, Chicago, IL 60642-7839 | 2014-04-17 |
| 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.