PARK RIDGE ENDODONTICS (NPI# 1467774661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467774661 |
| Entity Type | Organization |
| Organization Name | PARK RIDGE ENDODONTICS |
| Practice Address |
350 S Northwest Hwy Suite 116 Park Ridge IL 60068-4216 |
| Practice Telephone | 8478234161 |
| Practice Fax Number | 8478234163 |
| Mailing Telephone | 8478234161 |
| Mailing Fax Number | 8478234163 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | DR. PATRICK I FITZGERALD (PRESIDENT) |
| Authorized Official Telephone | 8478234161 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | 060009606 | IL | Managed Care Organizations |
| Y | 305R00000X | Preferred Provider Organization | 060009606 | IL | Managed Care Organizations |
| Street Address |
350 S NORTHWEST HWY SUITE 116 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700860640 | Specialized Imaging Services, Inc | Clinic/Center | 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068-4216 | 2005-12-05 |
| 1801432596 | Toni Hicks | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-11-18 |
| 1730724527 | Sonia Lally-singh | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-11-15 |
| 1225689862 | Alam Gonzalez | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-09-25 |
| 1760945042 | Lori-ann Riley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
| 1588127864 | Quiani Kimbrough | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
| 1487117768 | Jameela Bridges | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
| 1538622576 | Laure Frawley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-08 |
| 1154880482 | Sydney Shamley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-03-16 |
| 1427513290 | Integrativestrategiesrx | Counselor | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-02-06 |
| Find all providers in the same location | ||||
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811339096 | Danten, Ltd | Preferred Provider Organization | 111 S Washington Ave, Suite #202, Park Ridge, IL 60068-4203 | 2013-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
| 1134686439 | Qualsight LLC | Preferred Provider Organization | 9525 Bryn Mawr Ave Ste 725, Rosemont, IL 60018-5262 | 2019-02-23 |
| 1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
| 1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
| 1821549163 | Family Dental Practice | Preferred Provider Organization | 9709 Milwaukee Ave, Glenview, IL 60025-4567 | 2016-10-21 |
| 1548613094 | Shaunna R Repa | Preferred Provider Organization | 2231 Dawson Ln, Algonquin, IL 60102-5983 | 2016-07-20 |
| 1417308081 | Mother Dearest | Preferred Provider Organization | 14214 Woodlawn Ave, Dolton, IL 60419-1316 | 2016-06-24 |
| 1992154991 | Demoulin Family Chiropractic, Ltd. | Preferred Provider Organization | 11danada Square East, Wheaton, IL 60189-8484 | 2016-06-09 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1417310335 | The Metro Mentorship Initiative | Preferred Provider Organization | 1828 N Lowell Ave, Chicago, IL 60639-4818 | 2016-03-29 |
| Find all providers with the same taxonomy | ||||
| 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.