DR. ROBIN BRENT BLAKKOLB (NPI# 1508945437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508945437 |
| Entity Type | Individual |
| Full Name | DR. ROBIN BRENT BLAKKOLB |
| Credential | D.D.S. |
| Practice Address |
6800 Main St Suite 106 Downers Grove IL 60516-3493 |
| Practice Telephone | 6309645880 |
| Mailing Telephone | 6309645880 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021-001127 | IL | Dental Providers |
| Street Address |
6800 MAIN ST SUITE 106 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60516-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937345 | Nancy A. Congdon, M.s., P.C. | Audiologist | 6800 Main St, #114, Downers Grove, IL 60516-3493 | 2005-10-21 |
| 1053788331 | Jessica Lynne Anderson | Social Worker | 6800 Main St, Suite 210, Downers Grove, IL 60516-3493 | 2015-08-21 |
| 1790117208 | Illinois Neurotherapy Associates | Chiropractor | 6800 Main St, Ste 210, Downers Grove, IL 60516-3493 | 2013-08-07 |
| 1437591880 | Malgorzata Bryja | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2013-07-26 |
| 1356608665 | Taek Y. Kim, M.d., S.c. | Specialist | 6800 Main St, Suite 215, Downers Grove, IL 60516-3493 | 2012-04-12 |
| 1154622637 | Deluxe Home Health Care LLC | Home Health | 6800 Main St, Suite 020, Downers Grove, IL 60516-3493 | 2010-11-15 |
| 1548584386 | Christine M Ellis | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2010-03-23 |
| 1952624686 | Tammy F Bernath | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2010-03-09 |
| 1508018649 | Robin B Blakkolb Dds Ltd | Dentist | 6800 Main St, Suite 106, Downers Grove, IL 60516-3493 | 2008-10-21 |
| 1679740336 | Glenn R Pouleson | Dentist | 6800 Main St, Apex Endodontics #205, Downers Grove, IL 60516 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
| 1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
| 1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
| 1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
| 1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
| 1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
| Find all providers in zip 60516 | ||||
| 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 |
| 1477632818 | Ronald Clyde Freeman | Dentist | 3800 Highland Ave, Suite #109, Downers Grove, IL 60515-1557 | 2006-11-05 |
| 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 | 60516 |
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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.