MILLENNIUM PARK SMILES, LLC (NPI# 1760727796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760727796 |
Entity Type | Organization |
Organization Name | MILLENNIUM PARK SMILES, LLC |
Practice Address |
25 E Washington Suite 1707 Chicago IL 60602 |
Mailing Address |
25 E Washington St Suite 1707 Chicago IL 60602 |
Practice Telephone | 3122637200 |
Mailing Telephone | 3122637200 |
Enumeration Date | 2012-12-03 |
Last Update Date | 2012-12-03 |
Authorized Official Name | DR. CHRISTOS D BABOULAS (PRESIDENT) |
Authorized Official Telephone | 3122637200 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
019020154 | IL | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers | |
Y | 1223G0001X |
Dentist Specialization: General Practice |
019020453 | IL | Dental Providers |
Street Address |
25 E WASHINGTON SUITE 1707 |
City | CHICAGO |
State | IL |
Zip Code | 60602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053349969 | Christel E Lembke | Psychiatry & Neurology | 25 E Washington, Chicago, IL 60602 | 2006-06-29 |
1093030751 | Joseph S Toups | Dentist | 25 E Washington, Suite 1325, Chicago, IL 60602 | 2010-04-06 |
1679808620 | Robert S Salk | Dental Assistant | 25 E Washington, Suite 1707, Chicago, IL 60602 | 2009-10-08 |
1477603462 | Barney Straus Jr. | Social Worker | 25 E Washington, #1811, Chicago, IL 60602 | 2007-01-11 |
1588764450 | Daniel Arthur Greenberg | Dentist | 25 E Washington, Suite 2033, Chicago, IL 60602 | 2006-09-22 |
1154421030 | Donna Marie Barber | Dentist | 25 E Washington, Suite 2033, Chicago, IL 60602 | 2006-09-22 |
1962506378 | Steven Michael Pesenko | Podiatrist | 25 E Washington, Suite 701, Chicago, IL 60602 | 2006-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
Find all providers in zip 60602 |
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 |
---|---|---|---|---|
1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
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.