LAUREN KERSJES


Address: 3303 W 26th St, Chicago, IL 60623
Phone: 7735221926

LAUREN KERSJES (NPI# 1225522972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225522972
Entity Type Individual
Full Name LAUREN KERSJES
Credential DMD
Practice Address 3303 W 26th St
Chicago
IL 60623
Mailing Address 910 John St Apt 704
Seattle
WA 98109-5291
Practice Telephone 7735221926
Mailing Telephone 6165586814
Enumeration Date 2018-06-17
Last Update Date 2020-01-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist DE61021787 WA Dental Providers
Y 122300000X Dentist 019031579 IL Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
955 Park Ave N Ste D, Renton, WA 980575680 4257936003

Office Location

Street Address 3303 W 26TH ST
City CHICAGO
State IL
Zip Code 60623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174618383 Oscar Diaz Pediatrics 3303 W 26th St, Chicago, IL 60623-4036 2006-10-04
1013476324 Ilse Gabriela Vega Nurse Practitioner 3303 W 26th St, Chicago, IL 60623-4036 2019-03-16
1689172835 Carolina Ayala Physician Assistant 3303 W 26th St, Chicago, IL 60623-4036 2018-01-23
1598272023 Silvia Nunez Nurse Practitioner 3303 W 26th St, Chicago, IL 60623-4036 2018-01-05
1720522931 Stacey Carter Student in an Organized Health Care Education/Training Program 3303 W 26th St, Chicago, IL 60623-4036 2016-12-06
1285001867 Shauna Leigh Acosta Nurse Practitioner 3303 W 26th St, Chicago, IL 60623-4036 2015-08-30
1215312269 Charlene Uy Dentist 3303 W 26th St, Chicago, IL 60623-4036 2015-07-20
1649662008 Elizabeth Ferro Pharmacist 3303 W 26th St, Chicago, IL 60623-4036 2015-02-23
1942608013 Maria Barrera Social Worker 3303 W 26th St, Chicago, IL 60623-4036 2014-12-05
1952725095 Anna Maloney Nurse Practitioner 3303 W 26th St, Chicago, IL 60623-4036 2014-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629697917 East Oaks Dialysis LLC Clinic/Center 2950 W 26th St, Chicago, IL 60623 2020-04-16
1922543917 Montclare Senior Residences Slf of Lawndale LLC Assisted Living Facility 4339 West 18th Place, Chicago, IL 60623 2016-12-29
1679024376 Athletico Ltd. Physical Therapist 2632 W. Pershing Rd., Chicago, IL 60623 2016-10-18
1245691211 L A Jones Hair Restoration Center Prosthetic/Orthotic Supplier 1657 S. Troy, Chicago, IL 60623 2016-03-17
1982019204 Sonrisa Dental Little Village 26th Clinic/Center 3059 S 26th St, Chicago, IL 60623 2014-06-25
1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1477851319 Elizabeth Bauer Physician Assistant 3256 W 24th St, Chicago, IL 60623 2011-03-01
1023328390 Rebecca Franco Advanced Practice Midwife 2875 W. 19th St, Chicago, IL 60623 2010-10-20
1447580899 Candace Nicole Hutchen Pharmacist 3434 West 13th Place, Chicago, IL 60623 2010-01-07
1689801680 Braceman P&o Inc. Prosthetic/Orthotic Supplier 2830 W. Cermak Rd., Chicago, IL 60623 2009-06-17
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881293801 Wh Il Dental Pllc Dentist 18086 N. Kilpatrick Ave., Chicago, IL 60639 2020-10-21
1710598271 Amandeep Kaur Brar Dentist 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 2020-08-10
1770193971 Alex Sarpong Dentist 801 S Paulina St Rm 361, Chicago, IL 60612-7210 2020-08-03
1285243675 Alicia Marie Karczewski Dentist 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 2020-07-30
1740898154 Zeeshan Anjum Dentist 2322 S Canal St Unit 402, Chicago, IL 60616-2021 2020-07-22
1619594835 Rizina Hakimiyan Dentist 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 2020-07-03
1235756735 Payal K Shah Dentist 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 2020-06-30
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1023633054 Jennifer Kirk Munaretto Dentist 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 2020-06-16
1669097614 Seon Gyeong Park Dentist 1150 W 15th St Unit 236, Chicago, IL 60608-3688 2020-06-15
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Competitor

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City CHICAGO
Zip Code 60623

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Dataset Information

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.

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