IRINA BOLOTNIKOV DDS PC (NPI# 1740326313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740326313 |
| Entity Type | Organization |
| Organization Name | IRINA BOLOTNIKOV DDS PC |
| Practice Address |
7963 Gold Road Morton Grove IL 60053 |
| Practice Telephone | 8475830033 |
| Practice Fax Number | 8475830013 |
| Mailing Telephone | 8475830033 |
| Mailing Fax Number | 8475830013 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | IRINA BOLOTNIKOV (DENTIST PRESIDENT) |
| Authorized Official Telephone | 8475830033 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019029871 | IL | Dental Providers |
| Street Address |
7963 GOLD ROAD |
| City | MORTON GROVE |
| State | IL |
| Zip Code | 60053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536206 | 360 Rehabilitation & Physical Therapy LLC | Clinic/Center | 9041 Moody Avenue, Morton Grove, IL 60053 | 2019-09-06 |
| 1205312147 | Ziing Healthcare, Inc | Nursing Care | 6126 Lincoln Ave, Suite 1010, Morton Grove, IL 60053 | 2018-07-13 |
| 1578053674 | Megan Ruffalo | Home Health | 8922 Marion Ave, Morton Grove, IL 60053 | 2018-05-14 |
| 1215441381 | Kristen Marie Kowalski | Occupational Therapist | 8145 River Dr Ste 101, Morton Grove, IL 60053 | 2017-11-27 |
| 1760846190 | Lukasz Jarosinski | Physical Therapy Assistant | 8425 N Waukegan, Morton Grove, IL 60053 | 2016-04-12 |
| 1538547898 | Alysha Gillani | Behavioral Analyst | 9240 Merrill Ave, Morton Grove, IL 60053 | 2015-05-07 |
| 1043578909 | Jordan Jon Wolf | Social Worker | 9224 Cameron Lane, Morton Grove, IL 60053 | 2012-04-30 |
| 1427217454 | Amy Sakoda | Specialist | 9400 N Orile, Morton Grove, IL 60053 | 2008-06-05 |
| 1063679348 | Minsook Do Kroon | Chiropractor | 6021 W Dempster, Morton Grove, IL 60053 | 2008-05-22 |
| 1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
| Find all providers in zip 60053 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
| 1932228061 | Richard A Wilson | Dentist | 6007 Dempster St, Morton Grove, IL 60053-2943 | 2007-03-28 |
| 1215056643 | Ted J Heinz | Dentist | 5901 Dempster St Ste 202, Morton Grove, IL 60053-3023 | 2007-03-28 |
| 1073644605 | Rashmika B Patel | Dentist | 7140 Dempster St, Morton Grove, IL 60053-2053 | 2007-03-07 |
| 1346370665 | Alan Joseph Blas | Dentist | 8933 Oriole Ave, Alan J Blas Dds, Morton Grove, IL 60053-1853 | 2007-03-06 |
| 1902941263 | Ibbi Dental Clinic PC | Dentist | 7963 Golf Road, Morton Grove, IL 60053 | 2007-02-21 |
| 1134274657 | John G. Ifantis | Dentist | 9251 Waukegan Rd, Morton Grove, IL 60053-2102 | 2007-01-24 |
| 1811050990 | Simona Balan Dds PC | Dentist | 6223 W Dempster, Morton Grove, IL 60053 | 2006-12-19 |
| 1861560211 | Mireille Camille Halim | Dentist | 8930 Waukegan Rd Ste 110, Morton Grove, IL 60053-2116 | 2006-12-02 |
| 1356417562 | James O Bertini | Dentist | 9133 Waukegan Rd, Morton Grove, IL 60053-2120 | 2006-11-28 |
| Find all providers in MORTON GROVE | ||||
| City | MORTON GROVE |
| Zip Code | 60053 |
Please comment or provide details below to improve the information on IRINA BOLOTNIKOV DDS PC.
| 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.