DR. MATTHEW SEENA HAMEDANI (NPI# 1538592654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538592654 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SEENA HAMEDANI |
| Credential | D.D.S. |
| Practice Address |
3116 Oak Park Ave Berwyn IL 60402 |
| Mailing Address |
3116 Oak Park Ave Berwyn IL 60402-3031 |
| Practice Telephone | 7084849011 |
| Practice Fax Number | 7084849061 |
| Mailing Telephone | 7084849011 |
| Mailing Fax Number | 7084849061 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019029609 | IL | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 019-029609 | IL | Allopathic & Osteopathic Physicians |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 019029609 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3116 Oak Park Ave, Berwyn, IL 60402 | 7084849011 | 7084849061 |
| 7603 North Ave, River Forest, IL 603051133 | 7084567787 | 7086890853 |
| Street Address |
3116 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1821652736 | Oral and Maxilloficial Head and Neck Associates LLC | Oral & Maxillofacial Surgery | 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 | 2019-04-25 |
| 1801000443 | Center for Oral and Maxillofacial Surgery, P.C. | Oral & Maxillofacial Surgery | 10200 W Main St, Signal Hill Medical Bldg, Belleville, IL 62223-1408 | 2007-05-10 |
| 1396899878 | Bradley W Roberts Dmd PC | Oral & Maxillofacial Surgery | 4 Professional Drive, Alton, IL 62002 | 2007-01-22 |
| 1922198118 | Glenn A Miller | Oral & Maxillofacial Surgery | 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 | 2006-10-16 |
| 1114025574 | Michael John Karakourtis | Oral & Maxillofacial Surgery | 720 S Brom Drive, Suite #103, Naperville, IL 60540-6595 | 2006-09-20 |
| 1356448344 | William Joseph Powell | Oral & Maxillofacial Surgery | 318 S Washington St, Hinsdale, IL 60521-4433 | 2006-09-20 |
| 1295840304 | Khaled Abughazaleh | Oral & Maxillofacial Surgery | 65 E Scott St Apt 9a, Chicago, IL 60610-5274 | 2006-08-20 |
| 1750360608 | Michael R Stohle | Oral & Maxillofacial Surgery | 500 Davis St, Ste 509, Evanston, IL 60201 | 2006-01-10 |
| 1124027990 | Gamal S Naguib | Oral & Maxillofacial Surgery | 302 E Saint Charles Rd, Villa Park, IL 60181-2420 | 2005-07-14 |
| Find all providers with the same taxonomy | ||||
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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.