PHILIP WILLIAM CANNIZZARO (NPI# 1972121234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972121234 |
Entity Type | Individual |
Full Name | PHILIP WILLIAM CANNIZZARO |
Practice Address |
801 S Paulina St Chicago IL 60612-7210 |
Mailing Address |
6n254 Glendale Rd Medinah IL 60157-9729 |
Practice Telephone | 3129967514 |
Mailing Telephone | 6307121422 |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
019.032746 | IL | Dental Providers |
Street Address |
801 S PAULINA ST |
City | CHICAGO |
State | IL |
Zip Code | 60612-7210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124018841 | Carlotta Ann Evans | Dentist | 801 S Paulina St, Mc 841, Chicago, IL 60612-7210 | 2005-10-25 |
1215537113 | Jose A Villanueva Iv | Student in an Organized Health Care Education/Training Program | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-29 |
1528666229 | Michelle Akemi Marcano | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-14 |
1558969527 | Maysaa Oubaidin | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-13 |
1639789936 | Jacqueline M Wisinski | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-08-03 |
1740898709 | Alexandria Rozgony | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-16 |
1679191928 | Milica Novakovic | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-13 |
1144847740 | Nada Abdallah | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-06-30 |
1356964480 | Pheba Marin Abraham | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-05-23 |
1891315917 | Bhakti Desai | Student in an Organized Health Care Education/Training Program | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
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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 |
---|---|---|---|---|
1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
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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.