DR. PATRICK IAN FITZGERALD (NPI# 1730243213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730243213 |
Entity Type | Individual |
Full Name | DR. PATRICK IAN FITZGERALD |
Credential | DDS |
Practice Address |
350 S Northwest Hwy Suite 116 Park Ridge IL 60068-4216 |
Practice Telephone | 8478234161 |
Practice Fax Number | 8478234163 |
Mailing Telephone | 8478234161 |
Mailing Fax Number | 8478234163 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2010-03-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 019025826 | IL | Dental Providers |
Y | 1223E0200X |
Dentist Specialization: Endodontics |
021002186 | IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619327830 | Patrick Fitzgerald | Dentist | 1441 Forest Hill Blvd Ste 300, West Palm Beach, FL 33406-6095 | 2016-06-18 |
1477895969 | Patrick Fitzgerald | Physical Therapist | 879 Rutledge Ave, Charleston, SC 29403-3436 | 2013-03-22 |
1174589253 | Patrick Alfred Fitzgerald | Specialist | 1700 W Hillsdale Blvd, San Mateo, CA 94402-3757 | 2006-04-26 |
1326010026 | Patrick T Fitzgerald | Internal Medicine | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2006-02-06 |
1306378674 | Patrick Joseph Fitzgerald | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-03-28 |
1043687395 | Patrick Fitzgerald | Nurse Practitioner | 2508 E Fox Farm Rd, Cheyenne, WY 82007-2559 | 2015-08-21 |
1164604898 | Patrick J. Fitzgerald | Dentist | 703 S Decatur St, Watkins Glen, NY 14891-1614 | 2007-12-05 |
1255513172 | Patrick Fitzgerald | Marriage & Family Therapist | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2007-12-03 |
1487753331 | Patrick Lee Fitzgerald | Internal Medicine | 2701 Nw Vaughn St, Suite 140, Portland, OR 97210-5311 | 2006-09-21 |
1790882728 | Patrick Joseph Fitzgerald | Otolaryngology | 15525 Pomerado Rd, Suite E1, Poway, CA 92064-2435 | 2006-09-20 |
Street Address |
350 S NORTHWEST HWY SUITE 116 |
City | PARK RIDGE |
State | IL |
Zip Code | 60068-4216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700860640 | Specialized Imaging Services, Inc | Clinic/Center | 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068-4216 | 2005-12-05 |
1801432596 | Toni Hicks | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-11-18 |
1730724527 | Sonia Lally-singh | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-11-15 |
1225689862 | Alam Gonzalez | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-09-25 |
1760945042 | Lori-ann Riley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
1588127864 | Quiani Kimbrough | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
1487117768 | Jameela Bridges | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
1538622576 | Laure Frawley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-08 |
1154880482 | Sydney Shamley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-03-16 |
1427513290 | Integrativestrategiesrx | Counselor | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089777 | Sebastian Przybylo, Dmd, Pllc | Dentist | 350 S Northwest Hwy Ste 116, Park Ridge, IL 60068-4262 | 2020-09-24 |
1023232220 | Endodontic Associates of Park Ridge Ltd | Dentist | 111 S Washington, #202, Park Ridge, IL 60068 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770126740 | Old Orchard Endodontics | Dentist | 4905 Old Orchard Ctr Ste 216, Skokie, IL 60077-4741 | 2019-10-23 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
1518488055 | Seth Thomas Barnett | Dentist | 3601 General Electric Rd Ste 6, Bloomington, IL 61704-8566 | 2017-07-06 |
1023562857 | Jwwdental LLC | Dentist | 808 E Woodfield Rd, Suite 300, Schaumburg, IL 60173-4816 | 2016-08-10 |
1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
1619360096 | Rajan Sharma | Dentist | 6319 Fairview Ave Ste 103, Westmont, IL 60559-2889 | 2015-03-10 |
1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
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City | PARK RIDGE |
Zip Code | 60068 |
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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.