MARY ELLEN MCCORMACK (NPI# 1972760940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972760940 |
| Entity Type | Individual |
| Full Name | MARY ELLEN MCCORMACK |
| Credential | DDS |
| Practice Address |
711 W North Ave Chicago IL 60610 |
| Practice Telephone | 3129440658 |
| Mailing Telephone | 3129440531 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019025128 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649759630 | Mary E. Mccormack | Social Worker | 10 Cutting Cross Way, Wayland, MA 01778-3844 | 2018-08-09 |
| 1952710097 | Mary Bridget Mccormack | Nurse Practitioner | 25 Winthrop Rd, Hingham, MA 02043-3532 | 2014-08-02 |
| 1225267511 | Mary Bridget Mccormack | Nurse Practitioner | 208 Roxbury Ave, Rockaway Point, NY 11697-1406 | 2009-07-08 |
| 1225169121 | Mary Mccormack | Nurse Practitioner | 241 W 57th St, New York, NY 10019-2121 | 2007-03-09 |
| 1104978659 | Mary M Mccormack | Dietitian, Registered | 12458 Mcgregor Woods Cir, Fort Myers, FL 33908-2459 | 2007-01-17 |
| 1104939958 | Mary Eileen Mccormack | Obstetrics & Gynecology | 800 W Burrell Dr, Crown Point, IN 46307-8898 | 2006-08-16 |
| 1083103303 | Mary Margaret Mccormack | Registered Nurse | 735 Attucks Ln, Hyannis, MA 02601-1867 | 2018-05-02 |
| 1790293447 | Mary Lou Mccormack | Registered Nurse | 19 Lakes Street, Nespelem, WA 99155 | 2018-01-16 |
| Street Address |
711 W NORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548210339 | Qeena C Woodard | Podiatrist | 711 W North Ave, Suite 210, Chicago, IL 60610-1174 | 2006-05-11 |
| 1730611898 | Daniella Davida Brutman | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2017-03-29 |
| 1073963344 | Ann Tran | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2016-06-17 |
| 1881049583 | Kristen Gallagher | Obstetrics & Gynecology | 711 W North Ave, Chicago, IL 60610-1174 | 2016-05-01 |
| 1215301312 | Chicago Bright Smiles | Clinic/Center | 711 W North Ave, Suite 216, Chicago, IL 60610-1174 | 2015-11-30 |
| 1487028825 | Presence Chicago Hospitals Network | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-11-23 |
| 1043694045 | Julieta Lasala | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-07-20 |
| 1376982777 | Jessica Louise Rubino | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2013-06-19 |
| 1154765790 | George Herman Roepke IIi | Family Medicine | 711 W North Ave, Suite 209, Chicago, IL 60610-1174 | 2013-04-25 |
| 1265797021 | Gary Ray Fernandez | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| 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 |
| 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.