DR. STEPHEN FENCHEL (NPI# 1033457593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033457593 |
Entity Type | Individual |
Full Name | DR. STEPHEN FENCHEL |
Credential | DDS |
Practice Address |
1770 1st St Suite 310 Highland Park IL 60035-3200 |
Mailing Address |
1770 1st St Suite 310 Highland Park IL 60035 |
Practice Telephone | 8474325400 |
Practice Fax Number | 8474325420 |
Mailing Telephone | 8474325400 |
Mailing Fax Number | 8474325420 |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 019 017942 | IL | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
019 017942 | IL | Dental Providers |
Street Address |
1770 1ST ST SUITE 310 |
City | HIGHLAND PARK |
State | IL |
Zip Code | 60035-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396747374 | Andrzej J. Miga | Anesthesiology | 1770 1st St, Suite 703, Highland Park, IL 60035-3200 | 2005-08-10 |
1336570720 | Alexi Gniot | Physical Therapy Assistant | 1770 1st St, # 205, Highland Park, IL 60035 | 2013-12-10 |
1447695572 | Donald Abby Lapidus | Dentist | 1770 1st St, Suite 430, Highland Park, IL 60035-3200 | 2013-05-02 |
1336442268 | Raymond M Silverman Md Sc | Psychiatry & Neurology | 1770 1st St, Suite 203, Highland Park, IL 60035-3200 | 2010-12-15 |
1801117130 | Germaine Dabney Rubens | Registered Nurse | 1770 1st St, Ste 703, Highland Park, IL 60035-3200 | 2010-06-22 |
1487989083 | Julius Chucks Ajide | Specialist | 1770 1st St, Suite 703, Highland Park, IL 60035-3200 | 2009-10-15 |
1316176183 | Mark J Trabado | Nurse Anesthetist, Certified Registered | 1770 1st St, Highland Park, IL 60035-3200 | 2009-07-14 |
1407099328 | Daryl Steven Watson Jr. | Registered Nurse | 1770 1st St, Suite 703, Highland Park, IL 60035-3200 | 2009-04-07 |
1477716512 | Andrew M Altman | Dentist | 1770 1st St, Suite 420, Highland Park, IL 60035-3200 | 2008-07-09 |
1831305341 | Christine Elizabeth Davis | Acupuncturist | 1770 1st St, Suite 400, Highland Park, IL 60035-3200 | 2007-05-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
Find all providers in zip 60035 |
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 |
---|---|---|---|---|
1194098889 | Lee A Goldfine | Dentist | 1801 Saint Johns Ave, Highland Park, IL 60035-3215 | 2012-02-12 |
1619139417 | Gary S Meyers Dds PC | Dentist | 1770 First St, Suite 450, Highland Park, IL 60035-3200 | 2008-07-02 |
1245421882 | Jack Kurlansik | Dentist | 515 Raritan Avenue, Highland Park, NJ 08904-2901 | 2007-08-08 |
1912031501 | Dena G. Lieblich | Dentist | 901 Raritan Ave, Highland Park, NJ 08904-3601 | 2007-03-15 |
1245362839 | John Carli | Dentist | 580 Roger Williams Ave, Highland Park, IL 60035-4823 | 2007-03-10 |
1174659643 | Catherine Pascual Candelaria | Dentist | 321 Raritan Avenue, Highland Park, NJ 08904-2701 | 2007-02-26 |
1215063581 | Marshall M Dolnick | Dentist | 1000 Deerfield Rd., #301, Highland Park, IL 60035-3504 | 2007-02-23 |
1609913169 | Jeffrey Eric Riesberg | Dentist | 1722 1st St, Highland Park, IL 60035-3202 | 2007-01-31 |
1942354931 | Raymond M.fiocchi D.d.s. Ltd. | Dentist | 2685 Waukegan Ave, Highland Park, IL 60035-1430 | 2007-01-23 |
1326191347 | Larry Robert Berman | Dentist | 308 Raritan Ave, Highland Park, NJ 08904-2743 | 2007-01-21 |
Find all providers in HIGHLAND PARK |
City | HIGHLAND PARK |
Zip Code | 60035 |
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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.