DR. NICHOLAS JAMES POULOS (NPI# 1669026852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669026852 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS JAMES POULOS |
| Credential | DDS |
| Practice Address |
5470 W Madison St Chicago IL 60644-4026 |
| Practice Telephone | 7732872277 |
| Mailing Telephone | 7732872277 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.032285 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672542 | Nicholas George Poulos | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Orthopedics Residency, 980153, 1250 E. Marshall Street, Ricmond, VA 23298-0153 | 2020-06-04 |
| 1447702097 | Nicholas Poulos | Specialist | 11120 New Hampshire Ave, Suite 200, Silver Spring, MD 20904-2633 | 2016-10-31 |
| 1750505814 | Nicholas Michael Poulos | Dentist | 1459 Laney Walker Blvd, Ad 2809, Augusta, GA 30912-0002 | 2007-04-12 |
| 1144258310 | Nicholas E Poulos | Neurological Surgery | 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | 2006-06-28 |
| 1669446894 | Nicholas D. Poulos | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-02-14 |
| Street Address |
5470 W MADISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883608 | Tvs Rx Inc | Pharmacy | 5470 W Madison St, Chicago, IL 60644-4031 | 2005-10-05 |
| 1467907493 | Catherine Cabotaje | Pharmacist | 5470 W Madison St, Chicago, IL 60644-4031 | 2016-08-19 |
| 1043600042 | Dr Ashwini S Joshi Inc | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2015-01-28 |
| 1831516970 | Midwest Pharmacy Services LLC | Pharmacy | 5470 W Madison St, Chicago, IL 60644-4031 | 2014-03-26 |
| 1053600791 | George S. Panos D.d.s. Ltd. | Clinic/Center | 5470 W Madison St, Chicago, IL 60644-4031 | 2011-04-04 |
| 1235333154 | James Poulos | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-06-13 |
| 1356545263 | David Kim | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-06-13 |
| 1881897700 | Patricia J Nemec | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-06-07 |
| 1942322664 | Madison Pine Dental | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-04-04 |
| 1093851941 | Ather Nizam | Internal Medicine | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| 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 |
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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.