ABHISHEK NAGARAJ (NPI# 1154739571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154739571 |
| Entity Type | Individual |
| Full Name | ABHISHEK NAGARAJ |
| Credential | DDS |
| Practice Address |
13247 S Baltimore Ave Chicago IL 60633-1431 |
| Practice Telephone | 7736464664 |
| Mailing Telephone | 7736464664 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.029975 | IL | Dental Providers |
| Street Address |
13247 S BALTIMORE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60633-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972692812 | James M Goril | Dentist | 13247 S Baltimore Ave, Chicago, IL 60633-1431 | 2006-10-11 |
| 1316463375 | Titan Dental PC | Dentist | 13247 S Baltimore Ave, Chicago, IL 60633-1431 | 2017-08-21 |
| 1164795175 | James M Goril Dds Ltd | Clinic/Center | 13247 S Baltimore Ave, Chicago, IL 60633-1431 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154749513 | Ronald Paetsch I | Physical Therapy Assistant | 14500 S Manistee Ave., Burnham, IL 60633 | 2014-04-02 |
| 1033547914 | Sharron Lynese Mckee | Social Worker | 14545 South Manistee Ave., Unit 2c, Burnham, IL 60633 | 2013-10-31 |
| 1104437904 | Aracely Delreal | Counselor | 2753 E 127th St, Chicago, IL 60633-1128 | 2020-08-14 |
| 1790270965 | Emily Therese Opiola | Nurse Practitioner | 12816 S Muskegon Ave, Chicago, IL 60633-1243 | 2018-06-28 |
| 1144464322 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 3125 E 131st St, Chicago, IL 60633-1315 | 2009-05-01 |
| 1750468534 | James Egan | Chiropractor | 13101 S Baltimore Ave, Chicago, IL 60633-1318 | 2006-11-01 |
| 1194083766 | Joseph Pantano | Physical Therapy Assistant | 13002 S Brandon Ave, Chicago, IL 60633-1321 | 2012-05-02 |
| 1669039020 | Nikolina Medina | Speech-Language Pathologist | 13131 S Buffalo Ave, Chicago, IL 60633-1326 | 2019-05-21 |
| 1790811545 | Efstathia Maria Saranteas | Acupuncturist | 13144 S Buffalo Ave, Chicago, IL 60633-1327 | 2007-02-26 |
| 1538444724 | Integrity Loving Care LLC. | Home Health | 3152 E 133rd St, Chicago, IL 60633-1441 | 2011-10-19 |
| Find all providers in zip 60633 | ||||
| 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 |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| 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.