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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | IL | Managed Care Organizations |
Street Address |
9631 GROSS POINT RD SUITE 4 |
City | SKOKIE |
State | IL |
Zip Code | 60076-1264 |
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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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 Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
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 |
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1134686439 | Qualsight LLC | Preferred Provider Organization | 9525 Bryn Mawr Ave Ste 725, Rosemont, IL 60018-5262 | 2019-02-23 |
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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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.