DR. MARK A. HATTENHAUER (NPI# 1740313345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740313345 |
| Entity Type | Individual |
| Full Name | DR. MARK A. HATTENHAUER |
| Credential | D.D.S. |
| Practice Address |
636 S River Rd Suite 201 Des Plaines IL 60016-4624 |
| Practice Telephone | 8478242143 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019016980 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295740702 | Mark Thomas Hattenhauer | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2006-07-31 |
| Street Address |
636 S RIVER RD SUITE 201 |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164811394 | Laquita Edwards | Physician Assistant | 636 S River Rd, Suite 303, Des Plaines, IL 60016-4624 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| 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 |
|---|---|---|---|---|
| 1174060461 | Dr Arshia Taranum Dds Inc | Dentist | 9359 Margail Ave, Des Plaines, IL 60016-4200 | 2017-01-24 |
| 1780043596 | Jeffrey Winterich Dental Group | Dentist | 615 N Wolf Rd, Des Plaines, IL 60016-1045 | 2016-02-22 |
| 1992130934 | Charles Giroux | Dentist | 1347 Everett Ave, Des Plaines, IL 60018-2305 | 2013-09-10 |
| 1285934372 | Teresa Ospelt | Dentist | 25 N Broadway St, Des Plaines, IL 60016-2335 | 2010-10-24 |
| 1083844914 | Eva A. Hanna Dds PC | Dentist | 737 W Golf Rd, # 11, Des Plaines, IL 60016-2414 | 2009-07-27 |
| 1104052000 | Megan Elizabeth Clinton | Dentist | 1011 E. Touhy Avenue, Suite 125, Des Plaines, IL 60018 | 2009-06-05 |
| 1043476856 | Metropolitan Dental Care | Dentist | 1541 Market St, Des Plaines, IL 60016-4608 | 2008-07-31 |
| 1578736971 | Izabela Dlugosz | Dentist | 501 Alles St Apt 605, Des Plaines, IL 60016-7863 | 2008-04-07 |
| 1417131939 | Dana Merce Gale | Dentist | 1645 Rand Rd, Des Plaines, IL 60016 | 2007-12-19 |
| 1124224522 | Clifford Michael Mollsen Jr. | Dentist | 1455 East Golf Road, Suite 118, Des Plaines, IL 60016 | 2007-06-22 |
| Find all providers in DES PLAINES | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
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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.