DENTAL PROFESSIONALS OF ILLINOIS, P.C. (NPI# 1881989739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881989739 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF ILLINOIS, P.C. |
| Other Organization Name | ADVANCED DENTISTRY |
| Practice Address |
140 S Roselle Rd Schaumburg IL 60193-5594 |
| Practice Telephone | 8478958565 |
| Practice Fax Number | 8478951307 |
| Mailing Telephone | 8478958565 |
| Mailing Fax Number | 8478951307 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-01-07 |
| Authorized Official Name | LINDSAY BEARDEN (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF ILLINOIS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092177 | Dental Professionals of Illinois, P.C. | Dentist | 3419 Orchard Rd, Oswego, IL 60543-5005 | 2020-04-24 |
| 1790262434 | Dental Professionals of Illinois, P.C. | Dentist | 1402 S Us Highway 12, Fox Lake, IL 60020-1252 | 2018-07-25 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1043609167 | Dental Professionals of Illinois, P.C. | Dentist | 9990 W 190th St, Suite D, Mokena, IL 60448-8188 | 2015-01-13 |
| 1144623273 | Dental Professionals of Illinois, P.C. | Dentist | 540 W Walnut St, Oglesby, IL 61348-1400 | 2014-10-03 |
| 1053713966 | Dental Professionals of Illinois, P.C. | Dentist | 1411 W Lane Rd Ste B, Machesney Park, IL 61115 | 2014-09-23 |
| 1346651577 | Dental Professionals of Illinois, P.C. | Dentist | 1490 Douglas Rd, Oswego, IL 60543-5106 | 2014-05-09 |
| 1972925584 | Dental Professionals of Illinois, P.C. | Dentist | 6631 Grand Ave Ste 1, Gurnee, IL 60031-5284 | 2014-01-16 |
| 1386985380 | Dental Professionals of Illinois, P.C. | Dentist | 368 W. Washington St., East Peoria, IL 61611 | 2013-03-15 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| Street Address |
140 S ROSELLE RD |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60193-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396790630 | Asle Taylor Klemma | Dentist | 140 S Roselle Rd, Suite D, Schaumburg, IL 60193-5594 | 2006-05-24 |
| 1467928929 | Kory Kokinda | Physical Therapy Assistant | 140 S Roselle Rd, Schaumburg, IL 60193-5594 | 2018-10-22 |
| 1215435219 | Illinois Bone and Joint Institue, LLC | Occupational Therapist | 140 S Roselle Rd, Schaumburg, IL 60193-5594 | 2018-01-25 |
| 1629430426 | Danielle Mcadoo | Dietitian, Registered | 140 S Roselle Rd, Schaumburg, IL 60193 | 2016-03-22 |
| 1316321540 | Dustin Wylde | Dentist | 140 S Roselle Rd, Suite D, Schaumburg, IL 60193-5594 | 2015-07-17 |
| 1417377342 | Alyssa Bolhous | Physical Therapist | 140 S Roselle Rd, Schaumburg, IL 60193-5594 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1821516469 | Jill Leann Kissinger | Nurse Practitioner | 1227 Cranbrook Dr, Schaumburg, IL 60193 | 2017-09-05 |
| 1265981021 | Fresenius Medical Care Schaumburg, LLC | Clinic/Center | 815 W Wise Rd, Schaumburg, IL 60193 | 2016-09-22 |
| 1316323157 | Jasmine Said | Optometrist | 2834 Adams Ct., Schaumburg, IL 60193 | 2015-08-04 |
| 1215368287 | Daryl B. Wever Corp | Podiatrist | 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 | 2013-12-02 |
| 1164764668 | Pediatric Healthlink, S.c. | Pediatrics | 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 | 2013-03-22 |
| 1407154602 | Physician Office | Internal Medicine | 321 South Barrington Road, Schaumburg, IL 60193 | 2011-03-11 |
| 1154552016 | Crystal Clear Eye Care Clinic | Preferred Provider Organization | 1760 Wise, Schaumberg, IL 60193 | 2009-07-27 |
| 1437304458 | Frank J. Honig | Dentist | 129 S. Roselle Rd., 201, Schaumburg, IL 60193 | 2008-11-18 |
| 1902059017 | Today's Family Dentistry | Dentist | 1752 W. Wise Rd., Schaunburg, IL 60193 | 2008-11-03 |
| Find all providers in zip 60193 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871150557 | Siddhi Soni | Dentist | 300 S Roselle Rd Apt 212, Schaumburg, IL 60193-1622 | 2019-05-28 |
| 1467957001 | Comfort Dental Care LLC | Dentist | 1849 W Irving Park Rd, Schaumburg, IL 60193-3509 | 2018-03-27 |
| 1427586593 | Webster Dental Care Schaumburg, Ltd | Dentist | 650 E Higgins Rd Ste 7, Schaumburg, IL 60173-4762 | 2017-06-01 |
| 1497195705 | Alan J Acierno, PC | Dentist | 129 S Roselle Rd Ste 101, Schaumburg, IL 60193-5538 | 2013-07-01 |
| 1356788442 | Corey J Walther Dds Ltd | Dentist | 80 W Hillcrest Blvd, Suite 214, Schaumburg, IL 60195-3106 | 2013-05-29 |
| 1003119611 | Michael T Green | Dentist | 1900 N. Roselle Rd, #401, Schaumburg, IL 60195 | 2010-12-21 |
| 1700016177 | Vinay N Patel | Dentist | 1162 S Roselle Rd, Schaumburg, IL 60193-4072 | 2009-07-20 |
| 1437304458 | Frank J. Honig | Dentist | 129 S. Roselle Rd., 201, Schaumburg, IL 60193 | 2008-11-18 |
| 1538322888 | Min M Lee | Dentist | 829 E Schaumburg Rd, Schaumburg, IL 60194-3654 | 2008-07-08 |
| 1477769834 | Thomas James Seretis | Dentist | 929 W Wise Rd, Schaumburg, IL 60193-3821 | 2007-05-15 |
| Find all providers in SCHAUMBURG | ||||
| City | SCHAUMBURG |
| Zip Code | 60193 |
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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.