NORTHBROOK DENTAL CARE, LTD. (NPI# 1497871974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497871974 |
| Entity Type | Organization |
| Organization Name | NORTHBROOK DENTAL CARE, LTD. |
| Practice Address |
1135 Church St Northbrook IL 60062-3601 |
| Practice Telephone | 8472059337 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | DR. TIMOTHY TISHLER (PRESIDENT) |
| Authorized Official Telephone | 8472059337 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
1135 CHURCH ST |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326311622 | Northbrook Dental Care LLC | Clinic/Center | 1135 Church St, Northbrook, IL 60062 | 2012-02-16 |
| 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 |
|---|---|---|---|---|
| 1487285482 | Richard Razdolsky Dds LLC | Dentist | 3800 Willow Rd, Northbrook, IL 60062-6147 | 2020-01-28 |
| 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 |
| 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 NORTHBROOK DENTAL CARE, LTD..
| 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.