RAVENSWOOD DENTAL GROUP (NPI# 1528216538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528216538 |
| Entity Type | Organization |
| Organization Name | RAVENSWOOD DENTAL GROUP |
| Practice Address |
5015 N Paulina St Suite 330 Chicago IL 60640-2756 |
| Practice Telephone | 7733343555 |
| Practice Fax Number | 7733345771 |
| Mailing Telephone | 7733343555 |
| Mailing Fax Number | 7733345771 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | DR. HENRY LOTSOF (PRESIDENT) |
| Authorized Official Telephone | 7733343555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019019228 | IL | Dental Providers |
| Street Address |
5015 N PAULINA ST SUITE 330 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770544629 | Jack S. Zoldan | Specialist | 5015 N Paulina St, Suite 315, Chicago, IL 60640-2756 | 2006-03-30 |
| 1407118227 | Jay Anesthesia and Pain Management LLC | Anesthesiology | 5015 N Paulina St, Chicago, IL 60640-2756 | 2012-06-08 |
| 1629375589 | Suresh V.shingala Md Ltd | Internal Medicine | 5015 N Paulina St, 214, Chicago, IL 60640-2756 | 2011-02-11 |
| 1558536367 | Barnabas Medical Associates Sc | Internal Medicine | 5015 N Paulina St, Suite 225, Chicago, IL 60640-2756 | 2008-04-23 |
| 1396962528 | Michael J Gainer | Psychologist | 5015 N Paulina St, Ste. 310, Chicago, IL 60640-2756 | 2007-04-19 |
| 1689891830 | Michael J. Gainer, Ph.d., P.C. | Psychologist | 5015 N Paulina St, Ste. 310, Chicago, IL 60640-2756 | 2007-04-19 |
| 1609090661 | Jack Zoldan, Md Ltd | Specialist | 5015 N Paulina St, Suite 315, Chicago, IL 60640-2756 | 2007-04-12 |
| 1861576498 | Henry Louis Lotsof | Dentist | 5015 N Paulina St, Suite 330, Chicago, IL 60640-2756 | 2006-10-24 |
| 1518041128 | Susan M. Phillips | Dentist | 5015 N Paulina St, #330, Chicago, IL 60640-2756 | 2006-10-24 |
| 1568558815 | Dr Mario Oliveros P.C. | Internal Medicine | 5015 N Paulina St, Suite 218, Chicago, IL 60640-2756 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1710598271 | Amandeep Kaur Brar | Dentist | 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 | 2020-08-10 |
| 1770193971 | Alex Sarpong | Dentist | 801 S Paulina St Rm 361, Chicago, IL 60612-7210 | 2020-08-03 |
| 1285243675 | Alicia Marie Karczewski | Dentist | 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 | 2020-07-30 |
| 1740898154 | Zeeshan Anjum | Dentist | 2322 S Canal St Unit 402, Chicago, IL 60616-2021 | 2020-07-22 |
| 1619594835 | Rizina Hakimiyan | Dentist | 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 | 2020-07-03 |
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1023633054 | Jennifer Kirk Munaretto | Dentist | 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 | 2020-06-16 |
| 1669097614 | Seon Gyeong Park | Dentist | 1150 W 15th St Unit 236, Chicago, IL 60608-3688 | 2020-06-15 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on RAVENSWOOD DENTAL GROUP.
| 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.