DR. RONALD CLYDE FREEMAN (NPI# 1477632818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477632818 |
Entity Type | Individual |
Full Name | DR. RONALD CLYDE FREEMAN |
Credential | DDS, MS |
Practice Address |
3800 Highland Ave Suite #109 Downers Grove IL 60515-1557 |
Practice Telephone | 6308523355 |
Practice Fax Number | 6308523490 |
Mailing Telephone | 6308523355 |
Mailing Fax Number | 6308523490 |
Enumeration Date | 2006-11-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821005547 | Ronald Ray Freeman | Dentist | 203 South S Street, Livermore, CA 94550 | 2006-08-02 |
1508862384 | Ronald Lee Freeman | Ophthalmology | 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-3253 | 2005-06-25 |
1558495606 | Ronald A Freeman | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4000 | 2007-03-14 |
1225118466 | Ronald L Freeman | Dentist | 270 Sandusky St, Ashland, OH 44805-2033 | 2006-10-16 |
1780626903 | Ronald D Freeman | Dentist | W3275 Wolf River Road, Keshena, WI 54135 | 2006-06-12 |
1962479279 | Ronald Allen Freeman | Plastic Surgery | 800 1st St, Ste 240, Macon, GA 31201-8300 | 2006-03-06 |
Street Address |
3800 HIGHLAND AVE SUITE #109 |
City | DOWNERS GROVE |
State | IL |
Zip Code | 60515-1557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538167168 | Todd Arthur Robert | Optometrist | 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515-1557 | 2005-07-08 |
1285024281 | Sara Banuelos D.d.s Sc | Dentist | 3800 Highland Ave, Suite 108, Downers Grove, IL 60515-1557 | 2015-01-28 |
1316353881 | Midwest Plastic Surgery Institute, Inc. | Plastic Surgery | 3800 Highland Ave, Suite 106, Downers Grove, IL 60515-1557 | 2014-07-06 |
1043566870 | Hardesty Eye Care Associates LLC | Optometrist | 3800 Highland Ave, Suite 100, Downers Grove, IL 60515-1557 | 2012-07-30 |
1831475466 | Western Dupage Ob/gyn | Physician Assistant | 3800 Highland Ave, Downers Grove, IL 60515-1557 | 2011-10-27 |
1700018710 | Downers Grove Geriatrics LLC | Internal Medicine | 3800 Highland Ave, Suite 111, Downers Grove, IL 60515-1557 | 2009-08-10 |
1295997104 | Louis Raymond A Jison | Optometrist | 3800 Highland Ave, Downers Grove, IL 60515-1557 | 2008-07-01 |
1487841904 | Harold Jaimes, M.d., S.c. | Internal Medicine | 3800 Highland Ave, Suite 111, Downers Grove, IL 60515-1557 | 2007-09-28 |
1740274851 | Margaret Anne Supple | Pediatrics | 3800 Highland Ave, Suite 104, Downers Grove, IL 60515-1557 | 2005-09-02 |
1063410033 | Linda S Weil | Optometrist | 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515-1557 | 2005-07-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
Find all providers in zip 60515 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225114622 | Stephen Thomas Jagielo | Dentist | 4913 Main St, Downers Grove, IL 60515-3612 | 2006-10-27 |
1841581436 | Stephen T Jagielo Dds PC | Dentist | 4913 Main St, Downers Grove, IL 60515-3612 | 2011-04-29 |
1508018649 | Robin B Blakkolb Dds Ltd | Dentist | 6800 Main St, Suite 106, Downers Grove, IL 60516-3493 | 2008-10-21 |
1508945437 | Robin Brent Blakkolb | Dentist | 6800 Main St, Suite 106, Downers Grove, IL 60516-3493 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
Find all providers with the same taxonomy |
City | DOWNERS GROVE |
Zip Code | 60515 |
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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.