DR. ANDREW FRANK PETLAK (NPI# 1821215633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821215633 |
| Entity Type | Individual |
| Full Name | DR. ANDREW FRANK PETLAK |
| Credential | D.D.S. |
| Practice Address |
121 S Wilke Rd Suite 202 Arlington Heights IL 60005-1533 |
| Practice Telephone | 8472550909 |
| Practice Fax Number | 8472551339 |
| Mailing Telephone | 8472550909 |
| Mailing Fax Number | 8472551339 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
003-019016812-02 | IL | Dental Providers |
| Street Address |
121 S WILKE RD SUITE 202 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730692351 | Valerie Ann Lelle | Physician Assistant | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2017-11-06 |
| 1497266126 | Raina A George | Nurse Practitioner | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2017-10-20 |
| 1902324296 | Carmen Taylor-mason | Nurse Practitioner | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2017-09-06 |
| 1689027773 | Anthony Mule | Counselor | 121 S Wilke Rd, Suite 200, Arlington Heights, IL 60005-1533 | 2016-07-13 |
| 1801247283 | Kerri Ann Doherty | Behavioral Analyst | 121 S Wilke Rd, 410, Arlington Heights, IL 60005-1533 | 2016-06-27 |
| 1962884403 | Jennifer Ann Lopez | Counselor | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2015-06-21 |
| 1013309475 | Northwest Adhd Center Inc. | Counselor | 121 S Wilke Rd, Suite 403, Arlington Heights, IL 60005-1533 | 2015-02-23 |
| 1760826192 | Michele Pamela Hart | Counselor | 121 S Wilke Rd, Suite 232, Arlington Heights, IL 60005-1533 | 2013-04-29 |
| 1043587694 | Reliable Caregivers, Inc. | In Home Supportive Care | 121 S Wilke Rd, Suite 204b, Arlington Heights, IL 60005-1540 | 2011-11-28 |
| 1285919191 | Pamela R. Re | Counselor | 121 S Wilke Rd, Suite 232, Arlington Heights, IL 60005-1533 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| 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 |
|---|---|---|---|---|
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1336664432 | Patrick Brambert | Dentist | 1531 W Campbell St, Arlington Heights, IL 60005-1513 | 2017-08-09 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1588039580 | Dental Vue of Arlington Heights PC | Dentist | 305 E Rand Rd, Arlington Heights, IL 60004-3103 | 2015-12-02 |
| 1588952980 | Christopher John Hall | Dentist | 806 E Jennifer Ct, Arlington Heights, IL 60004-4000 | 2011-07-19 |
| 1679868178 | Aaron Appell | Dentist | 4230 N Arlington Heights Rd, Arlington Heights, IL 60004-1372 | 2011-06-13 |
| 1336395177 | Victor Lawrence Vaughan | Dentist | 1530 E Hintz Rd, Arlington Heights, IL 60004-2209 | 2008-08-12 |
| 1225291396 | Lynn Marie Konzen | Dentist | 3421 North Arlington Heights Road, Arlington Heights, IL 60004 | 2008-07-08 |
| 1841466984 | Peter Andrew Kics | Dentist | 23 S Vail Ave, Arlington Heights, IL 60005-1840 | 2008-05-07 |
| 1760657548 | K J Kohan Dds Ltd | Dentist | 304 E Rand Rd Ste 240, Arlington Heights, IL 60004-3190 | 2008-04-23 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
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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.