OLD ORCHARD DENTAL GROUP P.C.


Address: 9631 Gross Point Rd, Suite 4, Skokie, IL 60076-1264
Phone: 3124027414

OLD ORCHARD DENTAL GROUP P.C. (NPI# 1578886206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578886206
Entity Type Organization
Organization Name OLD ORCHARD DENTAL GROUP P.C.
Practice Address 9631 Gross Point Rd
Suite 4
Skokie
IL 60076-1264
Practice Telephone 3124027414
Enumeration Date 2010-03-09
Last Update Date 2010-03-09
Authorized Official Name ATOSA SARRAFI (PRESIDENT)
Authorized Official Telephone 3124027414
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization IL Managed Care Organizations

Office Location

Street Address 9631 GROSS POINT RD
SUITE 4
City SKOKIE
State IL
Zip Code 60076-1264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326086836 Kids' Health Partners, LLC Clinic/Center 9631 Gross Point Rd, Suite 2, Skokie, IL 60076-1264 2006-06-04
1023550811 North Shore Wound Center, Ltd Clinic/Center 9631 Gross Point Rd, Ste.107, Skokie, IL 60076-1264 2016-11-09
1669839304 Emily Fechner Physician Assistant 9631 Gross Point Rd, Suite 10, Skokie, IL 60076-1264 2016-01-26
1225332703 Integrative Wellness Clinic Ltd. Clinic/Center 9631 Gross Point Rd, Ste.107, Skokie, IL 60076-1264 2010-12-27
1992981930 Natasha Kasbekar Pediatrics 9631 Gross Point Rd, Suite 2, Skokie, IL 60076-1264 2008-01-19
1922111947 Tammy Rae Kaplan Internal Medicine 9631 Gross Point Rd, Suite 10, Skokie, IL 60076-1264 2006-08-16
1144233321 Edward H Kaplan Md & Associates Ltd Internal Medicine 9631 Gross Point Rd, Suite 10, Skokie, IL 60076-1264 2006-08-15
1154334159 Stacey Ellen Ban Internal Medicine 9631 Gross Point Rd, Ste 10, Skokie, IL 60076-1264 2006-08-14
1639181084 Edward Howard Kaplan Internal Medicine 9631 Gross Point Rd, Suite 10, Skokie, IL 60076-1264 2006-08-13
1255343521 Marlon Bram Kleinman Internal Medicine 9631 Gross Point Rd, Ste 10, Skokie, IL 60076-1264 2006-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
1336798255 Renee Rosenberg Speech-Language Pathologist C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 2019-09-04
1710531223 Dw Care Solutions Hospice Care, Community Based 4556 Oakton St, Suite 205, Skokie, IL 60076 2019-08-01
1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194808667 Arthritis & Internal Medicine Specialist Preferred Provider Organization 9701 Knox Ave, Ste 102, Skokie, IL 60076-1256 2006-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1053876367 Hope Network Foundation Preferred Provider Organization 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 2019-01-31
1801336441 Emily Edelman Psychotherapy, An Illinois Corporation Preferred Provider Organization 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 2017-03-01
1821549163 Family Dental Practice Preferred Provider Organization 9709 Milwaukee Ave, Glenview, IL 60025-4567 2016-10-21
1548613094 Shaunna R Repa Preferred Provider Organization 2231 Dawson Ln, Algonquin, IL 60102-5983 2016-07-20
1417308081 Mother Dearest Preferred Provider Organization 14214 Woodlawn Ave, Dolton, IL 60419-1316 2016-06-24
1992154991 Demoulin Family Chiropractic, Ltd. Preferred Provider Organization 11danada Square East, Wheaton, IL 60189-8484 2016-06-09
1790131936 Plainfield Pediatric Dental Care PC Preferred Provider Organization 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 2016-05-06
1417310335 The Metro Mentorship Initiative Preferred Provider Organization 1828 N Lowell Ave, Chicago, IL 60639-4818 2016-03-29
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Competitor

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City SKOKIE
Zip Code 60076

Improve Information

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Dataset Information

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.

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