DR. ALLEN FRED GOLDBERG (NPI# 1932475100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932475100 |
| Entity Type | Individual |
| Full Name | DR. ALLEN FRED GOLDBERG |
| Credential | DDS |
| Practice Address |
22406 Mallow Dr Frankfort IL 60423-8493 |
| Practice Telephone | 8155345533 |
| Mailing Telephone | 8155345533 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2012-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021.000435 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184832487 | Allen I Goldberg | Pediatrics | 1018 W Diversey Pkwy, #2, Chicago, IL 60614-1317 | 2007-05-18 |
| Street Address |
22406 MALLOW DR |
| City | FRANKFORT |
| State | IL |
| Zip Code | 60423-8493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700150505 | Glenda Flemister | Internal Medicine | 22406 Mallow Dr, Frankfort, IL 60423-8493 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1548819295 | Edith Stemmer | Technician | 22921 Toscana Drive, Frankfort, IL 60423 | 2019-09-05 |
| 1063974343 | Kailan Nicole Kathryn Paul | Occupational Therapist | 21000 S. Frankfort Square Road, Suite D, Frankfort, IL 60423 | 2019-04-04 |
| 1568928687 | Sari Leonela Perez | Behavior Technician | 5419 W. 87th St., Oak Lawn, IL 60423 | 2019-02-13 |
| 1992210322 | Personal Solutions Counseling, PC | Counselor | 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 | 2017-12-07 |
| 1255850038 | Abrahim Alramhi | Specialist/Technologist | 7635 West Juniper Ct, Frankfort, IL 60423 | 2017-09-13 |
| 1982120051 | Jakara Lynne Hubbard | Counselor | 20550 S Lagrange Rd Ste 105, Frankfort, IL 60423 | 2017-08-20 |
| 1922558345 | Madison Gaffney | Behavioral Analyst | 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 | 2016-10-10 |
| 1972050094 | Shannon Schaefer | Occupational Therapist | 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 | 2016-09-07 |
| 1336515949 | Anthony Joseph Vuckovich | Chiropractor | 9645 Lincolnway Ln Ste 112, Frankfort, IL 60423 | 2015-08-18 |
| Find all providers in zip 60423 | ||||
| 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 |
|---|---|---|---|---|
| 1518191295 | Powell and Martello P.C. | Dentist | 10241 W Lincoln Hwy, Frankfort, IL 60423-1279 | 2009-05-08 |
| 1396995783 | Midland Oral Surgery and Implant Centers, Ltd | Dentist | 10097 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2008-09-23 |
| 1568768224 | Oral Surgery Group of Frankfort, Pllc | Dentist | 103 C Michael Davenport Blvd, Frankfort, KY 40601-4491 | 2011-01-28 |
| 1982777652 | Chirag Desai | Dentist | 340 West Lincoln Hwy, Frankfort, IL 60423 | 2006-11-17 |
| 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.