ANTIOCH ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC (NPI# 1427478429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427478429 |
| Entity Type | Organization |
| Organization Name | ANTIOCH ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC |
| Other Organization Name | DR. CHOUKAS |
| Practice Address |
800 Main St Antioch IL 60002-1542 |
| Practice Telephone | 8473957955 |
| Practice Fax Number | 8473957956 |
| Mailing Telephone | 8473957955 |
| Mailing Fax Number | 8473957956 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | DR. CHRIS NICHOLAS CHOUKAS (PRESIDENT) |
| Authorized Official Telephone | 8473957955 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021001233 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr. Choukas | Other Name - Individual/Organization |
| Street Address |
800 MAIN ST |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831678739 | Jessica L Quirini | Social Worker | 800 Main St, Antioch, IL 60002-1542 | 2018-08-10 |
| 1316426216 | Lena Ochoa | Social Worker | 800 Main St, Antioch, IL 60002-1542 | 2018-08-10 |
| 1386025484 | Blending Families | Community/Behavioral Health | 800 Main St, Suite 5, Antioch, IL 60002-1542 | 2015-06-15 |
| 1114160033 | Grace S Robinson | Counselor | 800 Main St, Suite 5, Antioch, IL 60002-1542 | 2009-04-07 |
| 1598911372 | James Gerald Michehl | Counselor | 800 Main St, Suite 28, Antioch, IL 60002-1542 | 2008-08-13 |
| 1376718874 | Antioch School District 34 | Local Education Agency (LEA) | 800 Main St, Antioch, IL 60002-1542 | 2008-04-25 |
| 1679775464 | Cozette Michelle Roper | Social Worker | 800 Main St, Ste 210, Antioch, IL 60002-1578 | 2007-06-04 |
| 1457579625 | Kristan Cameron | Social Worker | 800 Main St, Antioch, IL 60002-1542 | 2007-04-23 |
| 1902927791 | Marie Sahs | Social Worker | 800 Main St, Antioch, IL 60002-1542 | 2007-04-02 |
| 1073669131 | Daniel J Boarini | Dentist | 800 Main St, Antioch, IL 60002-1542 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104349760 | Jesse M. Fa, Dds, Inc | Dentist | 2730 Lone Tree Way Ste 7, Antioch, CA 94509-4964 | 2017-07-25 |
| 1437163433 | Walter Jung | Dentist | 5245 Hickory Hollow Pkwy, Antioch, TN 37013-3003 | 2006-07-28 |
| 1023287380 | Sloan M. Mcdonald, Dds and Roberto J. Deloso, Dds | Dentist | 5201 Deer Valley Rd, #2b, Antioch, CA 94531-7429 | 2008-02-20 |
| 1679613624 | Sloan M Mc Donald | Dentist | 5201 Deer Valley Rd, Suite 2b, Antioch, CA 94531-7429 | 2007-02-07 |
| 1366517658 | Roberto Jose Deloso | Dentist | 5201 Deer Valley Rd, #2b, Antioch, CA 94531-7429 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
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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.