DR. SANDRA ALTARAWNEH (NPI# 1720622152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720622152 |
| Entity Type | Individual |
| Full Name | DR. SANDRA ALTARAWNEH |
| Credential | DDS, MS |
| Practice Address |
Uic College of Dentistry 801 S. Paulina Street Chicago IL 60612 |
| Mailing Address |
1901 S Calumet Ave Unit 2712 Chicago IL 60616-6027 |
| Practice Telephone | 7737105863 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
136.000250 | IL | Dental Providers |
| Street Address |
UIC COLLEGE OF DENTISTRY 801 S. PAULINA STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1952485096 | David Joel Reisberg | Dentist | 811 S. Paulina St., Mc 588, Chicago, IL 60612-4305 | 2006-10-25 |
| 1831162528 | Dcp of Illinois (irving Park), Ltd. | Dentist | 4066 North Milwaukee Ave, Chicago, IL 60641 | 2006-02-11 |
| 1528666229 | Michelle Akemi Marcano | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-14 |
| 1649688607 | Suzie Ahn | Dentist | 1933 W Irving Park Rd, Chicago, IL 60613-5180 | 2014-07-22 |
| 1386928554 | Aristotelis Marinis | Dentist | 801 S Paulina St, Restorative Dentistry, Chicago, IL 60612-7210 | 2011-10-05 |
| 1801100391 | Faisel Abdulhamid Ashtewi | Dentist | 676 N Michigan Ave Ste 3500, Chicago, IL 60611-2839 | 2010-07-27 |
| 1639327570 | Ales Obrez | Dentist | 801 S Paulina St, Rm 204k, Chicago, IL 60612-7210 | 2008-09-04 |
| 1790940849 | Anil Agarwal | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2008-07-28 |
| 1659565232 | Omar R Cruz | Dentist | 1426 W Belmont Ave, Chicago, IL 60657-6898 | 2007-08-28 |
| 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.