M-L DENTAL CLINIC INC (NPI# 1275973885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275973885 |
Entity Type | Organization |
Organization Name | M-L DENTAL CLINIC INC |
Other Organization Name | M-L DENTAL OFFICE INC |
Practice Address |
2836 W Devon Ave Chicago IL 60659-1513 |
Practice Telephone | 7733387565 |
Practice Fax Number | 7733387565 |
Mailing Telephone | 7733387565 |
Mailing Fax Number | 7733387565 |
Enumeration Date | 2013-06-27 |
Last Update Date | 2013-06-27 |
Authorized Official Name | DR. SAAD SALAM HABEEB (OWNER) |
Authorized Official Telephone | 7733387565 |
Authorized Official Credential | M. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | 019021575 | IL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 019021757 | 05 |
Other Name | Type Code |
---|---|
M-L DENTAL OFFICE INC | Former Legal Business Name - Organization |
Street Address |
2836 W DEVON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60659-1513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649617135 | Saad Habeeb | Dentist | 2836 W Devon Ave, Chicago, IL 60659-1513 | 2013-05-24 |
1487280202 | Smile360chicago | Clinic/Center | 2836 W Devon Ave, Chicago, IL 60659-1513 | 2020-03-13 |
1477108959 | Mustafa Salam | Dentist | 2836 W Devon Ave, Chicago, IL 60659-1513 | 2019-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
Find all providers in zip 60659 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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1487015715 | Brothers Health Collective | Public Health or Welfare | 58 E 26th St, Chicago, IL 60616-2327 | 2016-03-15 |
1093115883 | Le Penseur Youth & Family Services, Inc | Public Health or Welfare | 1464 W 115th St, Chicago, IL 60643-4465 | 2014-08-28 |
1720425119 | Health Zone, LLC | Public Health or Welfare | 3647 W Lawrence Ave, Chicago, IL 60625-5625 | 2013-05-27 |
1851606339 | University of Illinois At Chicago | Public Health or Welfare | 835 S Wolcott Ave # Mc844, Chicago, IL 60612-3748 | 2010-08-09 |
1124076419 | Association House of Chicago | Public Health or Welfare | 1116 N. Kedzie Avenue, Chicago, IL 60651 | 2006-05-05 |
1568430205 | Methodist Youth Services, Inc. | Public Health or Welfare | 954 W Washington Blvd, Chicago, IL 60607-2224 | 2006-03-09 |
1437500311 | Karyn J Britt | Public Health or Welfare | 1029 E 130th St, Chicago, IL 60628-6908 | 2016-06-22 |
1053755801 | Chicago Dental Partners, LLC | Public Health or Welfare | 2551 N Clark St, Suite 600, Chicago, IL 60614-1798 | 2013-04-23 |
1073859492 | Saving Lives Incorporated | Public Health or Welfare | 4627 S State St, Chicago, IL 60609-4602 | 2012-12-13 |
1477833838 | Northriver Mhc | Public Health or Welfare | 5801 N Pulaski Rd, Chicago, IL 60646-6007 | 2011-08-17 |
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.