DR. RYAN GRELLE TUSCHER


Address: 5425 W Lake St, Chicago, IL 60644-2342
Phone: 7733783347

DR. RYAN GRELLE TUSCHER (NPI# 1851520720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851520720
Entity Type Individual
Full Name DR. RYAN GRELLE TUSCHER
Credential D.D.S.
Practice Address 5425 W Lake St
Chicago
IL 60644-2342
Mailing Address 1431 N Western Ave
Suite 401
Chicago
IL 60622-1797
Practice Telephone 7733783347
Practice Fax Number 7733784028
Mailing Telephone 3126335841
Mailing Fax Number 7732695500
Enumeration Date 2009-07-13
Last Update Date 2020-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019.028069 IL Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1431 N Western Ave, Suite 401, Chicago, IL 606221797 7732695540 7732695542

Office Location

Street Address 5425 W LAKE ST
City CHICAGO
State IL
Zip Code 60644-2342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871575233 Lisa Kozinski Family Medicine 5425 W Lake St, Chicago, IL 60644-2342 2005-11-18
1588288773 Bridget Mary Doyle Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2020-06-03
1023677051 Alvie Bender Social Worker 5425 W Lake St, Chicago, IL 60644-2342 2019-06-12
1699333476 Reema Yogesh Patel Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2019-06-05
1013574136 Michelle Behrens Social Worker 5425 W Lake St, Chicago, IL 60644-2342 2019-05-23
1578120770 Joanna Trask Counselor 5425 W Lake St, Chicago, IL 60644-2342 2019-05-22
1568920171 Erick Woodrow Skaff Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644 2019-03-04
1356805386 Kathleen Escalona Nurse Practitioner 5425 W Lake St, Chicago, IL 60644-2342 2019-01-23
1942791702 Matthew Joseph Rudolph Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2018-05-28
1306337233 Sarah Neugarten Nurse Practitioner 5425 W Lake St, Chicago, IL 60644-2342 2018-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1639348691 Ysl Care, Inc Community Based Residential Treatment Facility, Mental Illness 5107-21 West Jackson Blvd, Chicago, IL 60644 2008-02-25
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881293801 Wh Il Dental Pllc Dentist 18086 N. Kilpatrick Ave., Chicago, IL 60639 2020-10-21
1710598271 Amandeep Kaur Brar Dentist 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 2020-08-10
1770193971 Alex Sarpong Dentist 801 S Paulina St Rm 361, Chicago, IL 60612-7210 2020-08-03
1285243675 Alicia Marie Karczewski Dentist 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 2020-07-30
1740898154 Zeeshan Anjum Dentist 2322 S Canal St Unit 402, Chicago, IL 60616-2021 2020-07-22
1619594835 Rizina Hakimiyan Dentist 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 2020-07-03
1235756735 Payal K Shah Dentist 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 2020-06-30
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1023633054 Jennifer Kirk Munaretto Dentist 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 2020-06-16
1669097614 Seon Gyeong Park Dentist 1150 W 15th St Unit 236, Chicago, IL 60608-3688 2020-06-15
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Competitor

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City CHICAGO
Zip Code 60644

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Dataset Information

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.

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