RICHARD RAZDOLSKY DDS LLC (NPI# 1487285482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487285482 |
| Entity Type | Organization |
| Organization Name | RICHARD RAZDOLSKY DDS LLC |
| Practice Address |
3800 Willow Rd Northbrook IL 60062-6147 |
| Mailing Address |
227 Brampton Ln Lake Forest IL 60045-4706 |
| Practice Telephone | 2243551118 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | DR. RICHARD RAZDOLSKY (OWNER) |
| Authorized Official Telephone | 8479806570 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Obsession | Doing Business As Name - Organization |
| Street Address |
3800 WILLOW RD |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-6147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1356818207 | Advance Family Dental Care, Ltd. | Dentist | 105 Revere Dr Ste E, Northbrook, IL 60062-1594 | 2018-10-30 |
| 1093075202 | Patricia Angelopoulos | Dentist | 3408 N. Milwaukee Ave., Northbrook, IL 60062 | 2012-05-22 |
| 1518107523 | Hui Jun Park | Dentist | 2425 Brian Dr., Northbrook, IL 60062 | 2009-03-03 |
| 1972757144 | Gloria A Digennaro | Dentist | 666 Dundee Rd Ste 801, Northbrook, IL 60062-2734 | 2008-11-13 |
| 1124212253 | Gary G Alberts | Dentist | 821 Sunset Ridge Rd, Northbrook, IL 60062-4006 | 2007-08-31 |
| 1295940856 | Glenbrook Dental Associates | Dentist | 3408 N Milwaukee Ave, Northbrook, IL 60062 | 2007-05-14 |
| 1992922132 | David Gary Simone | Dentist | 300 Skokie Blvd Ste D, Northbrook, IL 60062-1625 | 2007-04-19 |
| 1497871974 | Northbrook Dental Care, Ltd. | Dentist | 1135 Church St, Northbrook, IL 60062-3601 | 2007-03-22 |
| 1275659955 | Mark William Jacob | Dentist | 4119 Dundee Rd, Northbrook, IL 60062-2129 | 2007-03-22 |
| 1740312008 | Howard Theodore Block | Dentist | 1275 Shermer Road, Suite 2, Northbrook, IL 60062 | 2007-03-12 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on RICHARD RAZDOLSKY DDS LLC.
| 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.