INTERNATIONAL DENTAL CENTER (NPI# 1013063031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013063031 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL DENTAL CENTER |
| Practice Address |
2122 N Milwaukee Ave Chicago IL 60647-4067 |
| Practice Telephone | 7732271245 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RABEH SALAMAH-MOHAMMAD (PRESIDENT) |
| Authorized Official Telephone | 7732271245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | ========= | IL | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083905467 | International Dental Center | Point of Service | 3502 E State St, Rockford, IL 61108-1914 | 2011-04-20 |
| 1750518502 | International Dental Center | Point of Service | 18 S Larkin Ave, Joliet, IL 60436-1244 | 2009-06-19 |
| 1659427425 | International Dental Center | Point of Service | 3138 N Narragansett Ave, Chicago, IL 60634-4919 | 2007-01-26 |
| 1518246735 | International Dental Center | Dentist | 305 W Indian Trl, Unit C, Aurora, IL 60506-2400 | 2011-08-04 |
| 1750694824 | International Dental Center | Dentist | 18 S Larkin Ave, Unit 6, Joliet, IL 60436-1244 | 2010-07-19 |
| Street Address |
2122 N MILWAUKEE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619049848 | Rabeh R Salamah-mohammad | Dentist | 2122 N Milwaukee Ave, Chicago, IL 60647-4067 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998326 | Balanced Health | Point of Service | 140 W 62nd St, Chicago, IL 60621-3809 | 2020-06-29 |
| 1699182642 | In Home Counseling for Seniors | Point of Service | 2318 N Lowell Ave, Chicago, IL 60639-3520 | 2014-07-22 |
| 1720419732 | The Excellence Group, LLC | Point of Service | 1102 E 46th St Unit 202, Chicago, IL 60653-4435 | 2013-12-02 |
| 1588918684 | Regina H Rocha Dds, Ms, PC | Point of Service | 1649 W Cortland St Unit C-101, Chicago, IL 60622-8974 | 2012-10-29 |
| 1487929097 | Art of Healing Touch | Point of Service | 1746 E 55th St, Chicago, IL 60615-5966 | 2012-03-14 |
| 1790096865 | Genuine Home Care Services, Inc. | Point of Service | 7420 N Western Ave, Chicago, IL 60645-1707 | 2010-06-23 |
| 1659427425 | International Dental Center | Point of Service | 3138 N Narragansett Ave, Chicago, IL 60634-4919 | 2007-01-26 |
| 1598833659 | Nova Care | Point of Service | 5405 S Harlem Ave, Chicago, IL 60638-2205 | 2006-11-30 |
| 1972917599 | Dental Dreams | Point of Service | 350 N Clark St, Suite 600, Chicago, IL 60654-4712 | 2014-06-12 |
| 1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
| 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.