DR. IAN ELLIOTT (NPI# 1265562698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265562698 |
| Entity Type | Individual |
| Full Name | DR. IAN ELLIOTT |
| Credential | DDS |
| Practice Address |
1315 Macom Dr Suite 106 Naperville IL 60564-9358 |
| Practice Telephone | 6308623600 |
| Practice Fax Number | 6308623636 |
| Mailing Telephone | 6308623600 |
| Mailing Fax Number | 6308623636 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447745435 | Ian Elliott | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2018-06-22 |
| 1962853853 | Ian Elliott | Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-22 |
| Street Address |
1315 MACOM DR SUITE 106 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-9358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629043195 | Dominic Costabile | Family Medicine | 1315 Macom Dr, Suite 005, Naperville, IL 60564-9358 | 2006-02-20 |
| 1851990576 | Aubrey Elwood | Speech-Language Pathologist | 1315 Macom Dr, Naperville, IL 60564-9358 | 2020-10-23 |
| 1922661586 | Emma Geraldine Stevenson | Physical Therapist | 1315 Macom Dr, Naperville, IL 60564-9358 | 2019-04-19 |
| 1598217697 | Sovereign Rehabilitation of Illinois | Clinic/Center | 1315 Macom Dr, Suite 103, Naperville, IL 60564-9358 | 2016-10-25 |
| 1992172654 | Margaret Donofrio | Speech-Language Pathologist | 1315 Macom Dr, Suite 103, Naperville, IL 60564-9358 | 2015-08-28 |
| 1235535428 | Susan Simcock | Physical Therapist | 1315 Macom Dr, Naperville, IL 60564-9358 | 2014-11-14 |
| 1245659440 | Krista Marie Leibfried | Physical Therapist | 1315 Macom Dr, Suite 103, Naperville, IL 60564-9358 | 2014-04-15 |
| 1174949929 | Naperville Center for Health & Wellness | Chiropractor | 1315 Macom Dr, Suite 104, Naperville, IL 60564-9358 | 2014-03-17 |
| 1033549894 | Amy Beth Reeb | Nurse Practitioner | 1315 Macom Dr, Ste. 203, Naperville, IL 60564-9358 | 2013-11-14 |
| 1437420494 | Greg D Sauder | Occupational Therapist | 1315 Macom Dr, Suite 103, Naperville, IL 60564-9358 | 2012-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285711697 | Robert E Pizzurro | Dentist | 1816 Bay Scott Cir Ste 104, Naperville, IL 60540-1113 | 2006-11-01 |
| 1154623684 | Susan A Cascino, Dds, PC | Dentist | 10 W Martin Ave, Suite 211, Naperville, IL 60540-6535 | 2010-12-05 |
| 1447498548 | Robert E. Pizzurro, Dds Ltd | Dentist | 10 W Martin Ave, 211, Naperville, IL 60540-6535 | 2009-01-27 |
| 1942415955 | John K Francis | Dentist | 1315 Macom Dr, Suite 106, Naperville, IL 60564-9360 | 2007-05-12 |
| 1790998748 | Dental Design Group, Inc | Dentist | 1000 E Ogden Ave, Naperville, IL 60563-8616 | 2007-05-07 |
| 1841411279 | Susan Ann Cascino | Dentist | 1816 Bay Scott Cir Ste 104, Naperville, IL 60540-1113 | 2007-05-02 |
| 1003968215 | John Mcnamara | Dentist | 1795 S Washington St, Suite 108, Naperville, IL 60565-2496 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
| 1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
| 1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
| 1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
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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.