DR. GABRIEL SIM (NPI# 1730526229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730526229 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL SIM |
| Credential | D.D.S. |
| Practice Address |
2551 N Clark St Suite 404 Chicago IL 60614-1798 |
| Practice Telephone | 7738712161 |
| Mailing Telephone | 7738712161 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019.024019 | IL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
021.001924 | IL | Dental Providers |
| Street Address |
2551 N CLARK ST SUITE 404 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154304848 | Aaron Thomas Donnell | Allergy & Immunology | 2551 N Clark St, Suite 100, Chicago, IL 60614-1798 | 2005-11-28 |
| 1447858683 | Jazmine Hudson | Durable Medical Equipment & Medical Supplies | 2551 N Clark St, Chicago, IL 60614-1798 | 2020-10-10 |
| 1306245782 | Neel French Md, Sc | Internal Medicine | 2551 N Clark St, Suite 303, Chicago, IL 60614-1798 | 2014-08-21 |
| 1629408646 | Kathryn Herrera | Acupuncturist | 2551 N Clark St, Suite 605, Chicago, IL 60614-1798 | 2013-11-13 |
| 1619304433 | Nicholas Skasa | Counselor | 2551 N Clark St, Suite 800, Chicago, IL 60614-1798 | 2013-10-11 |
| 1053755801 | Chicago Dental Partners, LLC | Public Health or Welfare | 2551 N Clark St, Suite 600, Chicago, IL 60614-1798 | 2013-04-23 |
| 1487991337 | Urban Brain and Body, LLC | Counselor | 2551 N Clark St, 8th Floor, Chicago, IL 60614-1798 | 2013-01-12 |
| 1023352382 | Kelly Jane Martin | Counselor | 2551 N Clark St, Suite 800, Chicago, IL 60614-1798 | 2012-11-26 |
| 1720364953 | Noah Ryan Goss | Physician Assistant | 2551 N Clark St, 203, Chicago, IL 60614-1798 | 2011-11-02 |
| 1972887487 | Alexandra Lilia Johnson | Social Worker | 2551 N Clark St, Suite 800, Chicago, IL 60614-1798 | 2011-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| 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 |
|---|---|---|---|---|
| 1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
| 1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
| 1962841601 | Vikash Suresh Huliyar | Dentist | 111 N Wabash Ave Ste 1517, Chicago, IL 60602 | 2013-06-16 |
| 1245678473 | Advanced Endodontics of Chicago | Dentist | 111 N Wabash Ave Ste 812, Chicago, IL 60602-1912 | 2013-06-10 |
| 1780020461 | Kimberly Smiles | Dentist | 1835 N Milwaukee Ave, Cw, Chicago, IL 60647-6186 | 2013-05-21 |
| 1619237088 | David Gilbert Oser | Dentist | 901 W Madison St Unit 619, Chicago, IL 60607-3372 | 2012-05-20 |
| 1922331370 | Susan Rutherford Torma | Dentist | 1642 W. Belmont Ave, Chicago, IL 60657 | 2009-09-16 |
| 1477723302 | Clarence Towns Jr. | Dentist | 8741 South Greenwood Ave, Suite 107, Chicago, IL 60619 | 2008-03-06 |
| 1508035619 | Innovative Endodontics, P.C. | Dentist | 4346 N Pulaski Rd # Ab, Chicago, IL 60641-2156 | 2008-02-22 |
| 1881813970 | Priscilla Yeung | Dentist | 1725 W North Ave, Suite 102, Chicago, IL 60622-2188 | 2007-04-25 |
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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.