DR. MICHAEL RONALD MAZUKELLI (NPI# 1386857191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386857191 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RONALD MAZUKELLI |
| Practice Address |
954 N Northwest Hwy Park Ridge IL 60068-2358 |
| Practice Telephone | 8478234045 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | IL | Dental Providers | |
| X | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
954 N NORTHWEST HWY |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235342064 | Michael R. Mazukelli, Dds, P.C. | Dentist | 954 N Northwest Hwy, Park Ridge, IL 60068-2358 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1144877689 | Nisha Patel | Dentist | 1030 Higgins Rd Ste 260, Park Ridge, IL 60068-5761 | 2019-08-20 |
| 1972049237 | Cameron Janowski | Dentist | 525 Edgemont Ln, Park Ridge, IL 60068-2648 | 2017-01-11 |
| 1518322478 | Kp Dental Inc. | Dentist | 704 N Greenwood Ave, Park Ridge, IL 60068-2508 | 2015-12-19 |
| 1508139635 | James B Lago | Dentist | 3 S. Prospect, Park Ridge, IL 60068-5014 | 2012-02-21 |
| 1023132925 | Gaile Valentina Cerniauskas | Dentist | 318 W Touhy Ave, Park Ridge, IL 60068-4205 | 2007-03-17 |
| 1215071089 | Robert D Kompanowski | Dentist | 412 Talcott Rd, Park Ridge, IL 60068 | 2007-02-16 |
| 1962543140 | Elise Manette Adley | Dentist | 1063 North Northwest Highway, Park Ridge, IL 60068 | 2007-02-09 |
| 1073653713 | Lloyd William Lange | Dentist | 625 Devon Ave, Park Ridge, IL 60068-4732 | 2007-02-08 |
| 1710027412 | James Edward Thommes | Dentist | 770 Busse Hwy, Park Ridge, IL 60068-2441 | 2007-02-08 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.