NEAR NORTH HEALTH (NPI# 1821630054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821630054 |
| Entity Type | Organization |
| Organization Name | NEAR NORTH HEALTH |
| Practice Address |
4259 S Berkeley Ave Chicago IL 60653-3030 |
| Practice Telephone | 7736295488 |
| Mailing Telephone | 7736295488 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | DESTENII THOMAS ANDERSON (DENTAL HYGIENIST) |
| Authorized Official Telephone | 7736295488 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Street Address |
4259 S BERKELEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221553 | Near North Health Service Corporation | Clinic/Center | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2005-11-07 |
| 1942808407 | Destenii Thomas Anderson | Dental Hygienist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2020-10-15 |
| 1659914935 | Beeba Achamma Mathew | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2019-10-19 |
| 1245885474 | Miguel Bautista | Counselor | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2019-08-05 |
| 1417330556 | Samantha Kufta | Dentist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2015-07-07 |
| 1588091276 | Ayo Renee Odior | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2013-09-26 |
| 1447691977 | Mary Caitlin Gondek | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2013-07-12 |
| 1124373899 | Adewale Olailan Lawal | Dentist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2012-07-19 |
| 1639437924 | American Pharmaceutical Drugs Inc | Pharmacy | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2012-04-24 |
| 1699009654 | Leah Margaret Van Slambrouck | Pediatrics | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2009-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504192 | Laura M Scully | Dental Hygienist | 7013 W Farragut Ave, Chicago, IL 60656-1923 | 2019-08-19 |
| 1982269551 | Elisabeth Raya | Dental Hygienist | 1950 W Polk St Ste 1000, Chicago, IL 60612-3723 | 2019-05-08 |
| 1477009793 | Shawanda Carothers | Dental Hygienist | 8321 S. Hermitage Ave, Chicago, IL 60620-4630 | 2016-08-28 |
| 1033664420 | Rozalia Orlof | Dental Hygienist | 5415 N Neva Ave, Chicago, IL 60656-1934 | 2016-08-16 |
| 1053865865 | Gina Marie Misch | Dental Hygienist | 6535 W 60th St, Chicago, IL 60638-3313 | 2016-08-09 |
| 1255785994 | Daviliqua Thomas | Dental Hygienist | 7215 N Bell Ave, Chicago, IL 60645-2046 | 2016-04-19 |
| 1063889228 | Allison Winters | Dental Hygienist | 1741 W 93rd St, Chicago, IL 60643-5851 | 2015-08-24 |
| 1265784151 | Van Anh Nguyen | Dental Hygienist | 6074 N Troy St., Chicago, IL 60659 | 2012-10-03 |
| 1013262401 | Alfredo Carrasquillo | Dental Hygienist | 4104 W Nelson St, Chicago, IL 60641-5441 | 2012-07-21 |
| 1326318718 | Althea Brinker-thomas | Dental Hygienist | 3851 W Ogden Ave, Attn: Dental Dept, Chicago, IL 60623-2459 | 2012-01-03 |
| 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.