DR. JAN NOWAK (NPI# 1538294087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538294087 |
| Entity Type | Individual |
| Full Name | DR. JAN NOWAK |
| Credential | D.D,S. |
| Practice Address |
6143 N Northwest Hwy Chicago IL 60631-2127 |
| Practice Telephone | 7737922369 |
| Practice Fax Number | 7737922387 |
| Mailing Telephone | 7737922369 |
| Mailing Fax Number | 7737922387 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949967 | Jan Anthony Nowak | Pathology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-08-19 |
| Street Address |
6143 N NORTHWEST HWY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164610655 | Daniel Elliot Kaplan | Dentist | 6143 N Northwest Hwy, Chicago, IL 60631-2127 | 2007-10-09 |
| 1952518243 | John Nowak, D.d.s., L.L.C. | Dentist | 6143 N Northwest Hwy, Chicago, IL 60631-2127 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
| 1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
| 1962841601 | Vikash Suresh Huliyar | Dentist | 111 N Wabash Ave Ste 1517, Chicago, IL 60602 | 2013-06-16 |
| 1245678473 | Advanced Endodontics of Chicago | Dentist | 111 N Wabash Ave Ste 812, Chicago, IL 60602-1912 | 2013-06-10 |
| 1780020461 | Kimberly Smiles | Dentist | 1835 N Milwaukee Ave, Cw, Chicago, IL 60647-6186 | 2013-05-21 |
| 1619237088 | David Gilbert Oser | Dentist | 901 W Madison St Unit 619, Chicago, IL 60607-3372 | 2012-05-20 |
| 1922331370 | Susan Rutherford Torma | Dentist | 1642 W. Belmont Ave, Chicago, IL 60657 | 2009-09-16 |
| 1477723302 | Clarence Towns Jr. | Dentist | 8741 South Greenwood Ave, Suite 107, Chicago, IL 60619 | 2008-03-06 |
| 1508035619 | Innovative Endodontics, P.C. | Dentist | 4346 N Pulaski Rd # Ab, Chicago, IL 60641-2156 | 2008-02-22 |
| 1881813970 | Priscilla Yeung | Dentist | 1725 W North Ave, Suite 102, Chicago, IL 60622-2188 | 2007-04-25 |
| 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.