DR. MARISA LEANDRO (NPI# 1427029776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427029776 |
| Entity Type | Individual |
| Full Name | DR. MARISA LEANDRO |
| Credential | D.D.S., M.S. |
| Practice Address |
3001 6th St Great Lakes IL 60088-2833 |
| Mailing Address |
694 N Auburn Ln Lindenhurst IL 60046-7875 |
| Practice Telephone | 8476883553 |
| Mailing Telephone | 8473569523 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
6911 | CO | Dental Providers |
| Street Address |
3001 6TH ST |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610446 | Myron William Yencha | Otolaryngology | 3001 6th St, Dept Otolaryngology, Naval Hospital, Great Lakes, IL 60088-2833 | 2005-09-22 |
| 1689991507 | Heather Nimmagadda | Nurse Practitioner | 3001 6th St, Great Lakes, IL 60088-2833 | 2010-05-02 |
| 1811178486 | Stephen Schultz | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-11-23 |
| 1245434513 | John Dangca Vasquez | Military Health Care Provider | 3001 6th St, Great Lakes, IL 60088 | 2007-06-12 |
| 1396871166 | Michael Philip Fee | Dentist | 3001 6th St, Ste A Naval Health Clinics, Great Lakes, IL 60088-2833 | 2007-02-26 |
| 1184773012 | Orlando Lopez | Physician Assistant | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-01-09 |
| 1013004928 | Karen Leone | General Practice | 3001 6th St, Suite A, Great Lakes, IL 60088-2833 | 2006-10-10 |
| 1144278557 | Marla Crill Heller | Dietitian, Registered | 3001 6th St, A, Great Lakes, IL 60088-2833 | 2006-05-05 |
| 1609832187 | James Allen Westra | Pathology | 3001 6th St, Buiding 200h Laboratory, Great Lakes, IL 60088-2833 | 2006-04-25 |
| 1871559633 | Donald Joseph Bezdek | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659346328 | Dennis Allen Runyan | Dentist | Great Lakes Naval Training Center, Great Lakes, IL 60088 | 2006-02-17 |
| 1003807603 | Geoffrey Allen Thompson | Dentist | 310 B Street, Great Lakes, IL 60088-5259 | 2005-11-02 |
| 1871559633 | Donald Joseph Bezdek | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039947 | Yale Cho | Dentist | 17w110 22nd St Ste 150, Oakbrook Terrace, IL 60181-4454 | 2020-09-25 |
| 1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
| 1841848355 | Prime Dental Specialists | Dentist | 2638 Patriot Blvd, Glenview, IL 60026-8024 | 2019-08-28 |
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1396256350 | Christopher William Coffey | Dentist | 14600 S La Grange Rd Ste 5, Orland Park, IL 60462-2580 | 2017-10-18 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1578985495 | Fransiskus Andrianto Tjiptowidjojo | Dentist | 1901 N Roselle Rd Ste 110, Schaumburg, IL 60195-3179 | 2014-01-11 |
| 1386079689 | Bryan Jacobs | Dentist | 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734 | 2013-09-05 |
| 1790932325 | Samson Sol Flores | Dentist | 1415 Oakton St, Evanston, IL 60202-2720 | 2008-08-26 |
| 1396991196 | Lake Forest Dental Associates, PC | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1205 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
Please comment or provide details below to improve the information on DR. MARISA LEANDRO.
| 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.