DR. HASAN FAWWAZ OTHMAN (NPI# 1750584546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750584546 |
Entity Type | Individual |
Full Name | DR. HASAN FAWWAZ OTHMAN |
Credential | DDS, MS, PHD |
Practice Address |
2340 S Highland Ave Suite 310 Lombard IL 60148-5371 |
Practice Telephone | 6304249070 |
Practice Fax Number | 6304249077 |
Mailing Telephone | 6304249070 |
Mailing Fax Number | 6304249077 |
Enumeration Date | 2007-06-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265091128 | Hasan Farid Hasan Othman | Pediatrics | 5303 S Cedar St Ste 205, Lansing, MI 48911-3800 | 2019-06-13 |
Street Address |
2340 S HIGHLAND AVE SUITE 310 |
City | LOMBARD |
State | IL |
Zip Code | 60148-5371 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417939323 | Gregory C Castello | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2005-11-16 |
1407391212 | Davena Janeen Beal | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2017-01-03 |
1992247084 | Othman Orthodontics Inc | Dentist | 2340 S Highland Ave, Ste 310, Lombard, IL 60148-5371 | 2016-11-07 |
1811356215 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2340 S Highland Ave, Lombard, IL 60148-5371 | 2016-02-15 |
1265858013 | Marian Glenn | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2014-03-17 |
1033542535 | Adventist Health Partners, Inc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-08-20 |
1063852895 | Amazehealth Weight Loss & Wellness, Sc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-06-25 |
1629415757 | Dr. Nicole Kott Ltd | Dentist | 2340 S Highland Ave, Suite 320, Lombard, IL 60148-5371 | 2013-05-30 |
1811266026 | Erin Valentino | Physician Assistant | 2340 S Highland Ave, Ste 370, Lombard, IL 60148-5371 | 2011-12-16 |
1649567231 | Fazal Ahmed Md PC | Psychologist | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2011-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
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Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992247084 | Othman Orthodontics Inc | Dentist | 2340 S Highland Ave, Ste 310, Lombard, IL 60148-5371 | 2016-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
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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.