ADVANCED TOTAL DENTAL CARE (NPI# 1558545830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558545830 |
| Entity Type | Organization |
| Organization Name | ADVANCED TOTAL DENTAL CARE |
| Practice Address |
1873 Waukegan Rd Glenview IL 60025-2158 |
| Practice Telephone | 8477292875 |
| Practice Fax Number | 8477240157 |
| Mailing Telephone | 8477292875 |
| Mailing Fax Number | 8477240157 |
| Enumeration Date | 2007-12-22 |
| Last Update Date | 2007-12-22 |
| Authorized Official Name | DR. SEO KU LEE (PRESIDENT) |
| Authorized Official Telephone | 8477292875 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
IL | Ambulatory Health Care Facilities |
| Street Address |
1873 WAUKEGAN RD |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-2158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619952298 | Medcare Inc. | Physical Therapist | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2005-12-07 |
| 1952895575 | Cathleen Marie Rothert | Physical Therapist | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2018-06-18 |
| 1710374780 | Medcare | Physical Therapist | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2015-04-17 |
| 1003235979 | Medcare Medical Group | Physical Therapist | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2014-04-08 |
| 1235557240 | Americo Inc. | Developmental Therapist | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2014-04-07 |
| 1457683369 | Healthcore Center | Clinic/Center | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2010-02-02 |
| 1013171511 | Seo Ku Lee | Dentist | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2008-07-14 |
| 1063629699 | Americo | Clinic/Center | 1873 Waukegan Rd, Glenview, IL 60025-2158 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609046283 | Glenview Family Dental Care Center | Clinic/Center | 3801 W Lake Ave, Suite # 201, Glenview, IL 60026-1292 | 2008-03-10 |
| 1619515061 | Bordignon Dental Associates | Clinic/Center | 1730 Dewes St, Glenview, IL 60025-4316 | 2019-12-17 |
| 1184183139 | Glenview Smiles, LLC | Clinic/Center | 1775 Glenview Rd Ste 206, Glenview, IL 60025-2900 | 2019-03-19 |
| 1063907293 | Best Endodontics of Winnetka, Ltd | Clinic/Center | 1775 Glenview Rd Ste 217, Glenview, IL 60025-2900 | 2018-06-29 |
| 1487103354 | Drozdz Dental Services, Inc. | Clinic/Center | 3633 W Lake Ave, Suite 409, Glenview, IL 60026-5805 | 2016-10-03 |
| 1124573639 | Bordignon Dental Associates | Clinic/Center | 1730 Dewes St, Glenview, IL 60025-4316 | 2016-08-25 |
| 1659541282 | Michele R Monteith D.d.s. LLC | Clinic/Center | 2420 Ravine Way, Suite 100, Glenview, IL 60025-7650 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADVANCED TOTAL DENTAL CARE.
| 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.