OAK BROOK DENTAL AFFILIATES P.C. (NPI# 1023445186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023445186 |
| Entity Type | Organization |
| Organization Name | OAK BROOK DENTAL AFFILIATES P.C. |
| Practice Address |
120 Oakbrook Center Mall Suite 510 Oak Brook IL 60523-1806 |
| Practice Telephone | 6305710393 |
| Mailing Telephone | 6305710393 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | DR. JAMES B CHIDESTER (OWNER) |
| Authorized Official Telephone | 6305710393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19012052 | IL | Dental Providers |
| Street Address |
120 OAKBROOK CENTER MALL SUITE 510 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225047293 | Thomas E Byrne | Psychiatry & Neurology | 120 Oakbrook Center Mall, Suite 704, Oak Brook, IL 60523 | 2006-08-07 |
| 1730356270 | Gina D Gruendeman-gordon | Dentist | 120 Oakbrook Center Mall, Suite 600, Oak Brook, IL 60523 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| 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 |
|---|---|---|---|---|
| 1528435567 | Muzaffar Mohammed Shah-khan | Dentist | 256 Wood Glen Ln, Oak Brook, IL 60523-1535 | 2015-08-25 |
| 1346668456 | Ronald E Kozan | Dentist | 23 Camelot Dr, Oak Brook, IL 60523-1733 | 2014-04-04 |
| 1588093041 | Ghazala Zaid | Dentist | 355 Trinity Ln, Oak Brook, IL 60523-2565 | 2013-11-05 |
| 1144582370 | Amitkumar Pravinkumar Patel | Dentist | 2 Oakbrook Center Mall, Oak Brook, IL 60523-1810 | 2012-06-13 |
| 1821251711 | Alicia Gallegos | Dentist | 40 N Tower Rd Apt 5l, Oak Brook, IL 60523-1114 | 2008-07-09 |
| 1174792568 | Oak Brook Dental Center Inc. | Dentist | 120 Oak Brook Center Mall Ste 622, Oak Brook, IL 60523-4745 | 2008-02-29 |
| 1215155478 | Mary Ann Egan-kramer | Dentist | 120 Oakbrook Ctr Ste 326, Oak Brook, IL 60523-4726 | 2007-04-23 |
| 1760529754 | John E Nathan | Dentist | 815 Commerce, Suite 220, Oak Brook, IL 60523 | 2007-01-31 |
| 1104977974 | Monica Raichand | Dentist | 3012 Lincoln Rd, Oak Brook, IL 60523-2208 | 2007-01-16 |
| 1114544905 | Sarah Hamad | Dentist | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2020-06-29 |
| Find all providers in OAK BROOK | ||||
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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.