DR. GEORGE A MANDELARIS (NPI# 1356568513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356568513 |
| Entity Type | Individual |
| Full Name | DR. GEORGE A MANDELARIS |
| Credential | DDS |
| Practice Address |
1s224 Summit Ave Oakbrook Terrace IL 60181-3983 |
| Practice Telephone | 6306273930 |
| Practice Fax Number | 6306272148 |
| Mailing Telephone | 6306273930 |
| Mailing Fax Number | 6306272148 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
019024971 | IL | Dental Providers |
| Street Address |
1S224 SUMMIT AVE |
| City | OAKBROOK TERRACE |
| State | IL |
| Zip Code | 60181-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174519862 | Kamal N. Ibrahim | Orthopaedic Surgery | 1s224 Summit Ave, Suite 203, Oakbrook Terrace, IL 60181-3983 | 2005-09-27 |
| 1194076802 | Caitlin Marie Flicek | Speech-Language Pathologist | 1s224 Summit Ave, Suite 101, Oakbrook Terrace, IL 60181-3983 | 2012-09-21 |
| 1215291901 | Bradley S Degroot | Dentist | 1s224 Summit Ave, #205, Oakbrook Terrace, IL 60181-3983 | 2012-06-27 |
| 1619237872 | Soft Landing Interventions | Community/Behavioral Health | 1s224 Summit Ave, Suite 310, Oakbrook Terrace, IL 60181-3983 | 2012-05-22 |
| 1275892333 | Soft Landing Interventions | Clinic/Center | 1s224 Summit Ave, Suite 310, Oakbrook Terrace, IL 60181-3983 | 2012-05-10 |
| 1811255813 | Rizwana Mughal | Internal Medicine | 1s224 Summit Ave, Suite 310, Oakbrook Terrace, IL 60181-3983 | 2012-04-26 |
| 1609149566 | Soft Landing Intervention | Community/Behavioral Health | 1s224 Summit Ave, Oakbrook Terrace, IL 60181-3983 | 2012-02-22 |
| 1588893929 | Lea Ann Minalga | Counselor | 1s224 Summit Ave, Suite 310, Oakbrook Terrace, IL 60181-3983 | 2009-07-07 |
| 1275774044 | Acmi Pain Care LLC | Anesthesiology | 1s224 Summit Ave, Ste 301, Oakbrook Terrace, IL 60181-3983 | 2009-03-09 |
| 1962647917 | Julie Mather Jourdan | Physician Assistant | 1s224 Summit Ave, Suite 106, Oakbrook Terrace, IL 60181-3983 | 2008-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820812 | Molly Ahitow | Pharmacist | 900 Il-83, Villa Park, IL 60181 | 2020-10-30 |
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1720600992 | Mariam Ali | Pharmacist | 900 S. Rt 83, Villa Park, IL 60181 | 2020-05-11 |
| 1255970067 | Lifecare Pharmacy Plus LLC | Pharmacy | 1634 Ardmore Ave, Villa Park, IL 60181 | 2019-12-26 |
| 1497229215 | For Eyes Optical of Pa | Optometrist | 17 W 412-414 22nd St, Ste M&n, Oakbrook Terrace, IL 60181 | 2019-01-15 |
| 1114499928 | Next Step Physiotherapy LLC | Clinic/Center | 1 Parkview Plaza, Oakbrook Terrace, IL 60181 | 2018-12-19 |
| 1912482654 | Avertrail Dialysis LLC | Clinic/Center | 196 W. North Avenue, Villa Park, IL 60181 | 2018-09-28 |
| 1922588581 | Neeliyara Inc | Psychologist | 1s045 Spring Road, Unit 1g, Oakbrook Terrace, IL 60181 | 2018-08-14 |
| 1588168439 | Deborah Marie Adolfino | Pedorthist | 1s376 Summit Ave., Ct. E, Oakbrook Terrace, IL 60181 | 2018-03-23 |
| Find all providers in zip 60181 | ||||
| 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 |
|---|---|---|---|---|
| 1942455795 | Periodontal Implant Specialists | Dentist | 17w622 Butterfield Rd, Suite 208, Oakbrook Terrace, IL 60181-4037 | 2008-11-20 |
| 1811036718 | Periodontal Medicine and Surgical Specialists, LLC | Dentist | 1s224 Summit Ave, Suite 205, Oakbrook Terrace, IL 60181-3983 | 2007-02-06 |
| 1255437760 | Alan L Rosenfeld | Dentist | 1s224 Summit Ave, Suite 205, Oakbrook Terrace, IL 60181-3983 | 2006-09-15 |
| 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 | OAKBROOK TERRACE |
| Zip Code | 60181 |
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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.