MCLEAN DENTAL CLINIC, P.C. (NPI# 1295122539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295122539 |
| Entity Type | Organization |
| Organization Name | MCLEAN DENTAL CLINIC, P.C. |
| Practice Address |
552 N Mclean Blvd Elgin IL 60123-3242 |
| Practice Telephone | 8479319744 |
| Practice Fax Number | 8479317726 |
| Mailing Telephone | 8479319744 |
| Mailing Fax Number | 8479317726 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Authorized Official Name | DR. MUMTAZ SIDDIQUE (DOCTOR) |
| Authorized Official Telephone | 8479319744 |
| Authorized Official Credential | D.D.S., M.SC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019022632 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019022632 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427435056 | Mclean Dental Clinic, P.C. | Clinic/Center | 400 N Division St, Harvard, IL 60033-3061 | 2015-05-04 |
| Street Address |
552 N MCLEAN BLVD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124120381 | Mumtaz Ahmed Siddique | Dentist | 552 N Mclean Blvd, Elgin, IL 60123 | 2006-09-01 |
| 1952615114 | Mclean Foot Clinic PC | Clinic/Center | 552 N Mclean Blvd, Elgin, IL 60123-3242 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578009577 | Bryan R Blazer Dds PC | Clinic/Center | 431 Summit St Ste 105, Elgin, IL 60120-3861 | 2017-01-13 |
| 1699240416 | Elgin Dental Care, LLC | Clinic/Center | 431 Summit St Ste 105, Elgin, IL 60120-3861 | 2018-10-08 |
| 1588083059 | Mahendra Tolia Dds | Clinic/Center | 417 Dundee Ave, Elgin, IL 60120-3830 | 2014-04-14 |
| 1851639835 | Airlte Dental of Elgin | Clinic/Center | 40 N Airlite St, Suite 1a, Elgin, IL 60123-4965 | 2013-01-24 |
| 1477801298 | Michael D. Johnson, D.d.s.,p.c. | Clinic/Center | 2090 Larkin Ave, Unit One-rear, Elgin, IL 60123-5845 | 2012-08-28 |
| 1891069183 | Steven Sirin Dds PC | Clinic/Center | 1 Crescent St, Elgin, IL 60123-6267 | 2012-03-04 |
| 1952454878 | Pediatric Dentistry Ltd | Clinic/Center | 860 Summit St, Suite 246, Elgin, IL 60120-5145 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
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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.