MYS - ROCHELLE LLC (NPI# 1407211170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407211170 |
Entity Type | Organization |
Organization Name | MYS - ROCHELLE LLC |
Practice Address |
1001 Lincoln Hwy Rochelle IL 61068-1514 |
Practice Telephone | 8155622030 |
Enumeration Date | 2015-12-23 |
Last Update Date | 2017-06-19 |
Authorized Official Name | TODD STERN (OWNER) |
Authorized Official Telephone | 8153983879 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
019030473 | IL | Ambulatory Health Care Facilities |
N | 261QD0000X |
Clinic/Center Specialization: Dental |
019021620 | IL | Ambulatory Health Care Facilities |
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019024307 | IL | Ambulatory Health Care Facilities |
Street Address |
1001 LINCOLN HWY |
City | ROCHELLE |
State | IL |
Zip Code | 61068-1514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013076082 | Dean Alan Cater | Dentist | 1001 Lincoln Hwy, Rochelle, IL 61068 | 2006-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
1972029395 | Allison R Reed | Physical Therapist | 372 E Il Route 38, Rochelle, IL 61068 | 2017-08-17 |
1629501663 | Bradley Teo | Pharmacist | 311 E Route 38, Rochelle, IL 61068 | 2017-04-06 |
1871942730 | Hub Family Dental | Dentist | 409 Lincoln Highway, Rochelle, IL 61068 | 2016-06-10 |
1114277431 | Marlon De Luna Navarro | Physical Therapist | 1022 Lincoln Avenue, Apt. 4, Rochelle, IL 61068 | 2012-09-13 |
1902180169 | Chester Abraham Feather | Counselor | 1321 N. 7th St., Rochelle, IL 61068 | 2011-10-06 |
1073787164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1080 N 7th St, Rochelle, IL 61068 | 2008-04-18 |
1821267600 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 1211 Currency Court, Suite C, Rochelle, IL 61068 | 2008-02-26 |
1043488554 | Creston Comm School | Local Education Agency (LEA) | 202 W South Street, Rochelle, IL 61068 | 2008-02-19 |
1962695619 | Van Orthopaedic & Spine Surgery | Orthopaedic Surgery | 422 Cherry Ave, Rochelle, IL 61068 | 2007-08-24 |
Find all providers in zip 61068 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134692858 | Shady Oak Dental LLC - Rochelle Family Dental | Clinic/Center | 409 Lincoln Hwy, Rochelle, IL 61068-1642 | 2019-01-04 |
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.