NIZAR N MERHEB (NPI# 1811028848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811028848 |
| Entity Type | Individual |
| Full Name | NIZAR N MERHEB |
| Practice Address |
11825 State Route 40 Dunlap IL 61525-8842 |
| Mailing Address |
10705 N Alex Dr Peoria IL 61615-1167 |
| Practice Telephone | 3092438980 |
| Mailing Telephone | 3098682525 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021002096 | IL | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 036111888 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
11825 STATE ROUTE 40 |
| City | DUNLAP |
| State | IL |
| Zip Code | 61525-8842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891820312 | Mapleshade Vision Center Inc. | Optometrist | 11825 State Route 40, Suite 101, Dunlap, IL 61525-8842 | 2007-02-23 |
| 1265887210 | Jackson Sleep Centers Pllc | Dentist | 11825 State Route 40, Suite 100, Dunlap, IL 61525-8842 | 2016-04-27 |
| 1598141087 | Brockton Willey | Dentist | 11825 State Route 40, Dunlap, IL 61525-8842 | 2015-08-06 |
| 1134416795 | Maple Shade Dental (dunlap) LLC | Dentist | 11825 State Route 40, Suite 200, Dunlap, IL 61525-8842 | 2011-07-05 |
| 1740518380 | Illinois Institute of Dental Sleep Medicine Inc | Dentist | 11825 State Route 40, Dunlap, IL 61525-8842 | 2009-11-19 |
| 1417138421 | Erin Patrick Shanahan | Dentist | 11825 State Route 40, Dunlap, IL 61525-8842 | 2007-11-19 |
| 1255512273 | George M. Duncan | Dentist | 11825 State Route 40, Suite 100, Dunlap, IL 61525-8842 | 2007-11-19 |
| 1144409806 | Rodney Earl Willey | Dentist | 11825 State Route 40, Suite 100, Dunlap, IL 61525-8842 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512674 | Kids Thrive Therapy, LLC | Speech-Language Pathologist | 11221 N Blackstone Court, Dunlap, IL 61525 | 2017-08-02 |
| 1679857536 | Manish Patel | Pharmacist | 1700 W. Hickory Grove Rd, Apt 3-209, Dunlap, IL 61525 | 2011-10-10 |
| 1134302839 | Thomas Rickey | Pharmacist | 10424 N Osage Ct, Dunlap, IL 61525 | 2007-12-17 |
| 1427116854 | Maple Shade Dental Group | Dentist | 11825 N Knoxville Ave, Dunlap, IL 61525 | 2006-12-05 |
| 1407213796 | Tommy Bohannan | Durable Medical Equipment & Medical Supplies | 11417 N Boulder Creek Ct, Dunlap, IL 61525-1500 | 2016-01-19 |
| 1225499080 | Bohannan Medical Dist., LLC | Durable Medical Equipment & Medical Supplies | 11417 N Boulder Creek Ct, Dunlap, IL 61525-1500 | 2016-03-08 |
| 1437770872 | Laurie Michelle Kaplan | Dietitian, Registered | 12603 N. Feucht Rd, Dunlap, IL 61525-6152 | 2020-04-27 |
| 1255859575 | Kay Lynn Trilikis | Speech-Language Pathologist | 11230 N Greenview Ln, Dunlap, IL 61525-7542 | 2017-09-07 |
| 1891944864 | Naby Nature's Hand Inc | Massage Therapist | 307 S 4th St, Dunlap, IL 61525-8025 | 2008-09-15 |
| 1417123076 | Facial Cosmetic & Reconstructive Surgery, Sc | Clinic/Center | 11825 N Knoxville Ave, Dunlap, IL 61525-8842 | 2008-05-05 |
| Find all providers in zip 61525 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
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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.