DR. BRUCE SONNENBERG WARDELL (NPI# 1437138047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437138047 |
| Entity Type | Individual |
| Full Name | DR. BRUCE SONNENBERG WARDELL |
| Credential | DMD |
| Practice Address |
45 S Park Blvd Suite 220 Glen Ellyn IL 60137-6280 |
| Mailing Address |
1622 Jeanel Ln Aurora IL 60502-9635 |
| Practice Telephone | 6304696200 |
| Practice Fax Number | 6304696203 |
| Mailing Telephone | 6306970334 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2015-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021.002325 | IL | Dental Providers |
| Street Address |
45 S PARK BLVD SUITE 220 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993681 | Erika Berg | Counselor | 45 S Park Blvd, Glen Ellyn, IL 60137-6280 | 2020-05-13 |
| 1164908547 | Serendipity Counseling Services, Inc | Clinic/Center | 45 S Park Blvd, Glen Ellyn, IL 60137-6280 | 2018-07-18 |
| 1063954477 | Glen Ellyn Orthodontics, PC | Clinic/Center | 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137-6280 | 2016-11-16 |
| 1194178111 | Park Blvd Dentistry | Dentist | 45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137-6280 | 2016-07-14 |
| 1952767733 | Life Care Wellness, Inc. | Counselor | 45 S Park Blvd, Suite 200, Glen Ellyn, IL 60137-6280 | 2016-01-08 |
| 1831528389 | Meredith Lynne Mehner | Social Worker | 45 S Park Blvd, Suite 255, Glen Ellyn, IL 60137-6280 | 2013-11-05 |
| 1477982361 | Heather Nickrand | Counselor | 45 S Park Blvd, Suite 200, Glen Ellyn, IL 60137-6280 | 2013-11-01 |
| 1659713543 | Lifecare Counseling & Wellness, LLC | Counselor | 45 S Park Blvd, Ste 200, Glen Ellyn, IL 60137-6280 | 2013-07-22 |
| 1518207455 | Sam Faber Reif | Counselor | 45 S Park Blvd, Suite 130, Glen Ellyn, IL 60137-6280 | 2013-02-28 |
| 1235476227 | Dupage Healthcare Ltd | Chiropractor | 45 S Park Blvd, Suite 175, Glen Ellyn, IL 60137-6280 | 2013-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811107998 | Glen Ellyn Orthodontic Associates, P.C. | Dentist | 507 Duane St, Glen Ellyn, IL 60137-4549 | 2007-05-23 |
| 1184794992 | Douglas W Head | Dentist | 420 Pennsylvania Ave, Glen Ellyn, IL 60137-4437 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
| 1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
| 1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
| 1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
| 1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
| 1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
| 1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
| 1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
Please comment or provide details below to improve the information on DR. BRUCE SONNENBERG WARDELL.
| 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.