DR. SIRI CHANTHASALO (NPI# 1134286057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134286057 |
| Entity Type | Individual |
| Full Name | DR. SIRI CHANTHASALO |
| Credential | D.D.S. |
| Practice Address |
3091 W. Route 20 #103 Elgin IL 60124 |
| Mailing Address |
452 Westport Dr Pingree Grove IL 60140-9172 |
| Practice Telephone | 8478411555 |
| Mailing Telephone | 8472177215 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-025831 | IL | Dental Providers |
| Street Address |
3091 W. ROUTE 20 #103 |
| City | ELGIN |
| State | IL |
| Zip Code | 60124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114178183 | Siri Chanthasalo, D.d.s., P.C. | Dentist | 3091 W. Route 20, #103, Elgin, IL 60124 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124544978 | Kathleen Malinis | Registered Nurse | 2400 Big Timber Road, Elgin, IL 60124 | 2017-08-14 |
| 1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
| 1962858761 | Alex Torres | Specialist/Technologist | 2485 College Green Drive, Elgin, IL 60124 | 2016-05-11 |
| 1033588322 | Ph Elgin, LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2015-09-17 |
| 1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
| 1871928838 | Tiffany Lang | Behavioral Analyst | 3522 Hopewell Place, Elgin, IL 60124 | 2013-09-10 |
| 1376851386 | Angela Marie Stastny | Dietitian, Registered | 42w794 Mcdonald Rd, Campton Hills, IL 60124 | 2010-09-24 |
| 1598088726 | Shelly A. Pearson | Physical Therapist | 3051 Longcommon Parkway, Elgin, IL 60124 | 2010-03-02 |
| 1437282027 | Susan Ann Blocker | Speech-Language Pathologist | 3106 Kyra Ln, Elgin, IL 60124 | 2007-03-13 |
| 1174623664 | Thomas A. Lutz | Internal Medicine | 1670 Capital St Ste 500, Elgin, IL 60124 | 2006-09-24 |
| Find all providers in zip 60124 | ||||
| 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 |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801351192 | Elgin Cube Smiles Pllc | Dentist | 910 Lee Dildy Blvd #260, Elgin, TX 78621 | 2019-01-31 |
| 1811415920 | Kimberly Trinh | Dentist | 2050 Larkin Ave Ste 100, Elgin, IL 60123-5888 | 2017-09-08 |
| 1275069932 | Feels Like Family Dentistry | Dentist | 100 Pontiac Business Center Dr Ste C, Elgin, SC 29045-9171 | 2017-05-02 |
| 1780059063 | Yousaf Ahmad Dds LLC | Dentist | 2415 Bowes Rd, Suite #110, Elgin, IL 60123-5535 | 2015-12-11 |
| 1053675173 | Megha Bassi | Dentist | 910 W 11th St, Suite 260, Elgin, TX 78621-2042 | 2012-07-03 |
| 1124382288 | Two Rivers Dental PC | Dentist | 247 Dundee Ave, Elgin, IL 60120-4235 | 2012-07-03 |
| 1972865491 | Yousaf Hasan Ahmad | Dentist | 2415 Bowes Rd Ste 110, Elgin, IL 60123-5535 | 2012-06-11 |
| 1659650893 | Elgin Family Dentistry | Dentist | 124 2nd Ave Se, Elgin, MN 55932-9732 | 2011-08-05 |
| 1205169182 | Fortress Dental Corporation | Dentist | 1350 E. Chicago St, Suite 4, Elgin, IL 60120 | 2009-09-10 |
| Find all providers in ELGIN | ||||
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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.