CHICAGO CENTER FOR ADVANCED DENTISTRY (NPI# 1811527013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811527013 |
| Entity Type | Organization |
| Organization Name | CHICAGO CENTER FOR ADVANCED DENTISTRY |
| Practice Address |
222 N Lasalle St 230 Chicago IL 60601 |
| Practice Telephone | 3127045511 |
| Practice Fax Number | 3123463991 |
| Mailing Telephone | 3127045511 |
| Mailing Fax Number | 3123463991 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | STUART SCHELKOPF (DENTIST PARTNER) |
| Authorized Official Telephone | 3127045511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Street Address |
222 N LASALLE ST 230 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
| 1699085621 | Emily J Lenz | Nurse Practitioner | 116 S Michigan Ave, 13th Floor, Chicago, IL 60601 | 2010-10-08 |
| Find all providers in zip 60601 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1952485096 | David Joel Reisberg | Dentist | 811 S. Paulina St., Mc 588, Chicago, IL 60612-4305 | 2006-10-25 |
| 1831162528 | Dcp of Illinois (irving Park), Ltd. | Dentist | 4066 North Milwaukee Ave, Chicago, IL 60641 | 2006-02-11 |
| 1528666229 | Michelle Akemi Marcano | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-14 |
| 1649688607 | Suzie Ahn | Dentist | 1933 W Irving Park Rd, Chicago, IL 60613-5180 | 2014-07-22 |
| 1386928554 | Aristotelis Marinis | Dentist | 801 S Paulina St, Restorative Dentistry, Chicago, IL 60612-7210 | 2011-10-05 |
| 1801100391 | Faisel Abdulhamid Ashtewi | Dentist | 676 N Michigan Ave Ste 3500, Chicago, IL 60611-2839 | 2010-07-27 |
| 1639327570 | Ales Obrez | Dentist | 801 S Paulina St, Rm 204k, Chicago, IL 60612-7210 | 2008-09-04 |
| 1790940849 | Anil Agarwal | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2008-07-28 |
| 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.