YOUR SMILE BY DESIGN, P.C. (NPI# 1528231404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528231404 |
| Entity Type | Organization |
| Organization Name | YOUR SMILE BY DESIGN, P.C. |
| Practice Address |
3939 W Fullerton Ave Chicago IL 60647-2243 |
| Mailing Address |
1635 W Belmont Ave Unit 708 Chicago IL 60657-3047 |
| Practice Telephone | 7732350000 |
| Mailing Telephone | 7733276692 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. DAVID INGALLINERA (PRESIDENT) |
| Authorized Official Telephone | 7733276692 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 019025292 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1004771 | 05 |
| Street Address |
3939 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114068350 | Vi Quan Quan | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2007-02-09 |
| 1134729080 | Linora Nissan | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2020-10-29 |
| 1275937757 | George Damerji Dds PC | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2014-10-13 |
| 1023353133 | Dental Surgery Services, P.C. | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2012-11-29 |
| 1609176999 | Grosse Dmd Inc. | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2010-11-02 |
| 1831411990 | Vi Q Quan Dmd PC | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2010-02-17 |
| 1093968869 | Blanca Murillo Dds | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2008-10-24 |
| 1316110547 | Fullsmile Family Dentist | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2008-04-09 |
| 1164626511 | Orleanys Del Carmen | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2007-06-12 |
| 1851422695 | Belinda Amesty | Dentist | 3939 W Fullerton Ave, Chicago, IL 60647-2243 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487015715 | Brothers Health Collective | Public Health or Welfare | 58 E 26th St, Chicago, IL 60616-2327 | 2016-03-15 |
| 1093115883 | Le Penseur Youth & Family Services, Inc | Public Health or Welfare | 1464 W 115th St, Chicago, IL 60643-4465 | 2014-08-28 |
| 1720425119 | Health Zone, LLC | Public Health or Welfare | 3647 W Lawrence Ave, Chicago, IL 60625-5625 | 2013-05-27 |
| 1851606339 | University of Illinois At Chicago | Public Health or Welfare | 835 S Wolcott Ave # Mc844, Chicago, IL 60612-3748 | 2010-08-09 |
| 1124076419 | Association House of Chicago | Public Health or Welfare | 1116 N. Kedzie Avenue, Chicago, IL 60651 | 2006-05-05 |
| 1568430205 | Methodist Youth Services, Inc. | Public Health or Welfare | 954 W Washington Blvd, Chicago, IL 60607-2224 | 2006-03-09 |
| 1437500311 | Karyn J Britt | Public Health or Welfare | 1029 E 130th St, Chicago, IL 60628-6908 | 2016-06-22 |
| 1275973885 | M-l Dental Clinic Inc | Public Health or Welfare | 2836 W Devon Ave, Chicago, IL 60659-1513 | 2013-06-27 |
| 1053755801 | Chicago Dental Partners, LLC | Public Health or Welfare | 2551 N Clark St, Suite 600, Chicago, IL 60614-1798 | 2013-04-23 |
| 1073859492 | Saving Lives Incorporated | Public Health or Welfare | 4627 S State St, Chicago, IL 60609-4602 | 2012-12-13 |
| Find all providers in CHICAGO | ||||
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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.