PROCARE DENTAL GROUP, P.C. (NPI# 1578620712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578620712 |
| Entity Type | Organization |
| Organization Name | PROCARE DENTAL GROUP, P.C. |
| Other Organization Name | LINCOLN PARK DENTISTRY |
| Practice Address |
2266 N Lincoln Ave Unit 1 Chicago IL 60614-3718 |
| Mailing Address |
605 E Algonquin Rd Ste 300 Arlington Heights IL 60005-4373 |
| Practice Telephone | 7735286485 |
| Practice Fax Number | 7735286478 |
| Mailing Telephone | 8476401112 |
| Mailing Fax Number | 8476401107 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT G. BRUNETTI (C.E.O.) |
| Authorized Official Telephone | 8476401112 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Lincoln Park Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528246212 | Procare Dental Group, P.C. | Dentist | 434 West Ontario Street, Ste 300, Chicago, IL 60654 | 2008-02-05 |
| 1669539904 | Procare Dental Group, P.C. | Dentist | 805 Mchenry Ave, Crystal Lake, IL 60014-9794 | 2007-01-03 |
| 1821160904 | Procare Dental Group, P.C. | Dentist | 1057 N Northwest Hwy, Park Ridge, IL 60068-1805 | 2006-11-14 |
| 1114975828 | Procare Dental Group, P.C. | Dentist | 605 E Algonquin Rd, Suite 300, Arlington Heights, IL 60005-4373 | 2006-05-05 |
| 1841357084 | Procare Dental Group, P.C. | Dentist | 820 Davis St, Ste 460, Evanston, IL 60201-4431 | 2007-01-03 |
| 1124185467 | Procare Dental Group, P.C. | Dentist | 5445 Grand Ave, Ste 202, Gurnee, IL 60031-1725 | 2007-01-03 |
| 1912064155 | Procare Dental Group, P.C. | Dentist | 115 S Grove Ave, Ste 204, Elgin, IL 60120-6430 | 2007-01-03 |
| 1649337882 | Procare Dental Group, P.C. | Dentist | 5301 E State St, Ste 307a, Rockford, IL 61108-2901 | 2007-01-03 |
| 1811054059 | Procare Dental Group, P.C. | Dentist | 715 Ela Rd, Ste 1a, Lake Zurich, IL 60047-6300 | 2007-01-03 |
| 1215094883 | Procare Dental Group, P.C. | Dentist | 7 Blanchard Cir, Ste Llg, Wheaton, IL 60187-1037 | 2007-01-03 |
| Street Address |
2266 N LINCOLN AVE UNIT 1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670051 | Debra E Young | Podiatrist | 2266 N Lincoln Ave, Chicago, IL 60614-3718 | 2005-06-21 |
| 1174901201 | Badlani Healthcare Associates Mdsc | Internal Medicine | 2266 N Lincoln Ave, Lower Level, Chicago, IL 60614-7600 | 2015-05-08 |
| 1225477169 | Alireza Nili | Dentist | 2266 N Lincoln Ave, Chicago, IL 60614-7600 | 2013-06-24 |
| 1538401278 | Integrated Pain Management Sc | Anesthesiology | 2266 N Lincoln Ave, 2nd Floor, Chicago, IL 60614-7600 | 2013-03-20 |
| 1740529510 | M Gomez Inc. | Nurse Practitioner | 2266 N Lincoln Ave, Lower Level, Chicago, IL 60614-7600 | 2013-02-13 |
| 1083998256 | Sarang R Patel | Pharmacist | 2266 N Lincoln Ave, Lower Level, Chicago, IL 60614-7600 | 2011-10-05 |
| 1902180466 | M. Gomez Inc. | Nurse Practitioner | 2266 N Lincoln Ave, Lower Level, Chicago, IL 60614-7600 | 2011-10-03 |
| 1366724577 | Whole Health Md LLC | Family Medicine | 2266 N Lincoln Ave, Suite 300, Chicago, IL 60614-7600 | 2011-09-13 |
| 1740572064 | Sanjay Gill M.d. P.C. | Internal Medicine | 2266 N Lincoln Ave, 3rd Floor, Chicago, IL 60614-7600 | 2011-05-04 |
| 1770816431 | Sharon W Glickman | Nurse Practitioner | 2266 N Lincoln Ave, 3rd Floor, Chicago, IL 60614-7600 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| 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 | ||||
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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.