EAST ERIE DENTAL ASSOCIATES, P.C. (NPI# 1316006307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316006307 |
| Entity Type | Organization |
| Organization Name | EAST ERIE DENTAL ASSOCIATES, P.C. |
| Practice Address |
233 E Erie St Suite 406 Chicago IL 60611-2926 |
| Practice Telephone | 3125870200 |
| Practice Fax Number | 3125870223 |
| Mailing Telephone | 3125870200 |
| Mailing Fax Number | 3125870223 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TAN MINGH NGUYEN (PRESIDENT) |
| Authorized Official Telephone | 3125870200 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | IL | Managed Care Organizations |
| Street Address |
233 E ERIE ST SUITE 406 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960184 | Arnold B Grauer | Internal Medicine | 233 E Erie St, Suite 710, Chicago, IL 60611-2926 | 2005-08-30 |
| 1689112005 | Chicago Vascular Institute Sc | Internal Medicine | 233 E Erie St, 204, Chicago, IL 60611-2926 | 2017-02-06 |
| 1982155255 | Anc Counseling | Social Worker | 233 E Erie St, Suite 205a, Chicago, IL 60611-2926 | 2016-10-20 |
| 1831649284 | Olaitan Okediji Dds, PC | Clinic/Center | 233 E Erie St, Suite 210, Chicago, IL 60611 | 2016-10-10 |
| 1235586025 | Andrea Lietz | Social Worker | 233 E Erie St, Suite #207, Chicago, IL 60611-2926 | 2016-05-20 |
| 1316339567 | Elaine Ann Kirby | Social Worker | 233 E Erie St, 306, Chicago, IL 60611-2926 | 2015-02-25 |
| 1396137535 | Suzanne Condon-paskiewicz | Social Worker | 233 E Erie St, 306, Chicago, IL 60611-2926 | 2015-02-25 |
| 1730586413 | Noonan, Baker, & May, LLP | Social Worker | 233 E Erie St, Suite 404 A/b, Chicago, IL 60611-2926 | 2014-11-25 |
| 1538561261 | Elaine Gordon Wellness LLC | Counselor | 233 E Erie St, Suite 205a, Chicago, IL 60611-2926 | 2014-09-25 |
| 1578970422 | Amanda Goodyke | Nurse Practitioner | 233 E Erie St, Suite 304, Chicago, IL 60611-2926 | 2014-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| 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 |
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| 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 |
| 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.