DR. ELIZABETH ANN SAMORE (NPI# 1518013432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518013432 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH ANN SAMORE |
| Credential | D.D.S. |
| Practice Address |
320 Lake St Oak Park IL 60302-2612 |
| Mailing Address |
831 Jackson Ave River Forest IL 60305-1413 |
| Practice Telephone | 7088480528 |
| Mailing Telephone | 7082091465 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1003580 | 05 |
| Street Address |
320 LAKE ST |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891886164 | Stephanie M Weller | Pediatrics | 320 Lake St, Oak Park, IL 60302-2612 | 2006-09-28 |
| 1619403458 | Samantha Claire Cordell | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2017-05-11 |
| 1497190532 | Darla Kim Dewolff | Nurse Practitioner | 320 Lake St, Oak Park, IL 60302-2612 | 2013-05-02 |
| 1265705990 | Family Service and Mental Health Center of Cicero | Voluntary or Charitable | 320 Lake St, Oak Park, IL 60302-2612 | 2012-02-10 |
| 1083746606 | Wanda Laszcz | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-03-09 |
| 1134258916 | Oak Park River Forest Infant Welfare Society | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-03-05 |
| 1104953827 | Fauzia Khan-alsikafi | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-02-28 |
| 1659424018 | Jill Hoffmeyer Baskin | Dentist | 320 Lake St, Oak Park, IL 60302-2612 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| 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 |
|---|---|---|---|---|
| 1861843518 | Nathaniel C Lim Dds PC | Dentist | 6711 W North Ave, Oak Park, IL 60302-1006 | 2016-06-23 |
| 1184038358 | Tom L. Baranowski, D.d.s. | Dentist | 1011 Lake St Ste 410, Oak Park, IL 60301-1129 | 2014-06-16 |
| 1447486618 | Amy Katherine Rodriguez | Dentist | 719 Lake St, Oak Park, IL 60301-1406 | 2009-06-02 |
| 1083849046 | Emily Jane Taylor | Dentist | 831 Gunderson Ave, Oak Park, IL 60304-1425 | 2009-05-20 |
| 1689838328 | Robey Crawford Mcdonald | Dentist | 418 N Austin, Suite 2b, Oak Park, IL 60302 | 2008-07-11 |
| 1710176615 | Gene A Reisinger | Dentist | 1122 Westgate, Suite 200, Oak Park, IL 60301-1082 | 2007-10-17 |
| 1932315652 | Lawrence Patrick Smith | Dentist | 185 N Marion St, Oak Park, IL 60301-1513 | 2007-05-16 |
| 1801922133 | Eva Taub Schwartz | Dentist | 13741 W 11 Mile Rd, Oak Park, MI 48237 | 2007-02-23 |
| 1174661631 | Irwin W. Pearlman | Dentist | 1126 Westgate St, Oak Park, IL 60301-1008 | 2007-02-04 |
| 1013060375 | Alaa K Hermiz | Dentist | 10460 W 9 Mile Rd, Ste #a, Oak Park, MI 48237 | 2007-01-19 |
| Find all providers in OAK PARK | ||||
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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.