JASON ABRAHAM (NPI# 1730792359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730792359 |
| Entity Type | Individual |
| Full Name | JASON ABRAHAM |
| Practice Address |
2821 Grand Ave Waukegan IL 60085-2372 |
| Mailing Address |
3815 Timbers Edge Ln Glenview IL 60025-1480 |
| Practice Telephone | 3122744526 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019032886 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844455 | Jason Scott Abraham | Physician Assistant | 10406 River Bream Dr, Riverview, FL 33569-2704 | 2019-04-29 |
| 1588186787 | Jason Abraham | Pharmacist | 2094 Albany Post Rd, Montrose, NY 10548 | 2017-07-10 |
| Street Address |
2821 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487792 | Dental Experts, LLC | Dentist | 2821 Grand Ave, Waukegan, IL 60085-2372 | 2008-08-26 |
| 1639791296 | Matthew James Gotta | Dentist | 2821 Grand Ave, Waukegan, IL 60085-2372 | 2020-05-17 |
| 1093368219 | Justin L Feng | Dentist | 2821 Grand Ave, Waukegan, IL 60085-2372 | 2019-07-17 |
| 1336677665 | Yonghwi Moon | Dentist | 2821 Grand Ave, Waukegan, IL 60085 | 2017-05-31 |
| 1427502350 | Loolul Marjan | Dentist | 2821 Grand Ave, Waukegan, IL 60085-2372 | 2016-08-09 |
| 1467730275 | Nazik Shaban | Dentist | 2821 Grand Ave, Waukegan, IL 60085-2372 | 2011-07-27 |
| 1811206519 | Adina Simona Demian | Dentist | 2821 Grand Ave, Waukegan, IL 60085-2372 | 2010-09-28 |
| 1871731430 | Henry Kwang-suk Cho | Dentist | 2821 Grand Ave, Waukegan, IL 60085-2372 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| 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 |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1326596339 | Alla Kahn, Dds, Ltd | Dentist | 935 W Glen Flora Ave, Suite 200, Waukegan, IL 60085-1899 | 2016-09-19 |
| 1578912713 | Fulton Family Dental, Ltd. | Dentist | 1308 Sunset Ave., Waukegan, IL 60087 | 2016-06-08 |
| 1518321124 | Salud Dental of Waukegan | Dentist | 2320 Grand Ave, Waukegan, IL 60085-3313 | 2016-04-09 |
| 1205004082 | Divinia G. Catabijan | Dentist | 1711 W Monroe St, Waukegan, IL 60085-3527 | 2008-02-14 |
| 1457475287 | Richard B. Kirchhoff | Dentist | 2634 Grand Avenue, #106, Waukegan, IL 60085 | 2007-03-19 |
| 1447390182 | Kathleen Regina Woods | Dentist | 191 N Greenbay Rd, Waukegan, IL 60085 | 2007-02-08 |
| 1306955075 | Ellis J Neiburger | Dentist | 1000 North Ave, Waukegan, IL 60085-2938 | 2006-08-29 |
| 1417440611 | Amdental Inc | Dentist | 1421 N Lewis Ave, Waukegan, IL 60085-1757 | 2018-06-12 |
| 1336677665 | Yonghwi Moon | Dentist | 2821 Grand Ave, Waukegan, IL 60085 | 2017-05-31 |
| Find all providers in WAUKEGAN | ||||
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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.