25 EAST DENTAL LLC


Address: 25 E Washington St, Suite 1115, Chicago, IL 60602-1708
Phone: 6303393172

25 EAST DENTAL LLC (NPI# 1225583776) 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) 1225583776
Entity Type Organization
Organization Name 25 EAST DENTAL LLC
Practice Address 25 E Washington St
Suite 1115
Chicago
IL 60602-1708
Mailing Address 129 S Roselle Rd
Suite 102
Schaumburg
IL 60193-5540
Practice Telephone 6303393172
Mailing Telephone 6303393172
Enumeration Date 2016-08-24
Last Update Date 2016-08-24
Authorized Official Name ALAN J ACIERNO (MANAGER)
Authorized Official Telephone 6303393172
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 019018378 IL Managed Care Organizations

Office Location

Street Address 25 E WASHINGTON ST
SUITE 1115
City CHICAGO
State IL
Zip Code 60602-1708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245227867 Lawrence H Zager Dentist 25 E Washington St, # 825, Chicago, IL 60602-1708 2005-09-29
1417442021 William David Ewing IIi Counselor 25 E Washington St, Chicago, IL 60602-1708 2018-06-26
1609379635 Richla Davis Counselor 25 E Washington St, Chicago, IL 60602-1708 2018-03-15
1548785769 Ida D Andarge Social Worker 25 E Washington St, Chicago, IL 60602-1708 2017-08-09
1326577362 Asa Derrick Carson Dentist 25 E Washington St, Chicago, IL 60602-1708 2017-06-05
1023544731 Speak Chicago Psychotherapy LLC Social Worker 25 E Washington St, Suite 1908, Chicago, IL 60602-1708 2017-05-02
1427583830 Hannah Smith Therapy and Wellness Marriage & Family Therapist 25 E Washington St, Suite 1225, Chicago, IL 60602-1708 2017-04-23
1801328588 Katelyn Schmitt Counselor 25 E Washington St, Suite 2036, Chicago, IL 60602-1708 2017-03-31
1255871083 Equilibrium Counseling Center Clinic/Center 25 E Washington St, Suite 1724, Chicago, IL 60602-1708 2017-02-27
1336688902 Julia Meo Counselor 25 E Washington St, #2036, Chicago, IL 60602-1708 2017-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710539705 Biyang Wang Social Worker 9 W Washington St, Chicago, IL 60602 2019-07-10
1538724349 Megan Asta Sarasek Social Worker 134 N Lasalle Street, Suite 400, Chicago, IL 60602 2019-05-07
1659850691 Sara Chen Dentist 105 West Madison, 3rd Floor, Chicago, IL 60602 2018-08-10
1942795059 Pratiti Rajeshkumar Gandhi Dentist 33 N Dearborn St Ste 2400, Chicago, IL 60602 2018-06-30
1154833994 Ywca Metropolitan Chicago Counselor 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 2017-11-02
1013434620 Michelle Malters Counselor 30 N Michigan Ave Ste 1909, Chicago, IL 60602 2017-08-24
1740729474 Jd Manikowski, D.d.s., LLC Health Maintenance Organization 30 N. Michigan Ave #1520, Chicago, IL 60602 2017-02-14
1568909943 Pratiksha Agrawal Dentist 105 W Madison St Fl 3, Chicago, IL 60602 2017-01-24
1790221521 Anastasia Scangas Social Worker 30 N Michigan Ave Ste 826, Chicago, IL 60602 2017-01-18
1194269837 Jenna Peterson Psychologist 111 N Wabash Ave Ste 822, Chicago, IL 60602 2016-12-15
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972129625 Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd Preferred Provider Organization 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 2020-06-18
1053876367 Hope Network Foundation Preferred Provider Organization 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 2019-01-31
1801336441 Emily Edelman Psychotherapy, An Illinois Corporation Preferred Provider Organization 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 2017-03-01
1417310335 The Metro Mentorship Initiative Preferred Provider Organization 1828 N Lowell Ave, Chicago, IL 60639-4818 2016-03-29
1982081055 Abc Dental PC Preferred Provider Organization 4608 W Diversey Ave, Chicago, IL 60639-1801 2015-04-28
1093119521 3 H Care Inc. Preferred Provider Organization 4850 S Lake Park Ave Apt 1710, Chicago, IL 60615-2073 2014-10-13
1578988937 Joshua Allied Home Health Corporation Preferred Provider Organization 4250 N Marine Dr Apt 2534, Chicago, IL 60613-1741 2014-02-21
1891119590 Rimya Preferred Provider Organization 2545 W Diversey Ave, Chicago, IL 60647-7172 2014-02-15
1639442536 Park Smile Design Preferred Provider Organization 300 W Adams St Ste 323, Chicago, IL 60606-5107 2012-02-23
1669799813 Body Works Health & Wellness LLC Preferred Provider Organization 825 W. Monroe St., Chicago, IL 60607 2010-04-28
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Competitor

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City CHICAGO
Zip Code 60602

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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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