PROCARE DENTAL GROUP, P.C.


Address: 820 Davis St, Ste 460, Evanston, IL 60201-4431
Phone: 8473322226

PROCARE DENTAL GROUP, P.C. (NPI# 1841357084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841357084
Entity Type Organization
Organization Name PROCARE DENTAL GROUP, P.C.
Other Organization Name LAKESIDE DENTISTRY
Practice Address 820 Davis St
Ste 460
Evanston
IL 60201-4431
Mailing Address 605 E Algonquin Rd
Ste 300
Arlington Heights
IL 60005-4373
Practice Telephone 8473322226
Practice Fax Number 8473321683
Mailing Telephone 8476401112
Mailing Fax Number 8476401107
Enumeration Date 2007-01-03
Last Update Date 2008-06-18
Authorized Official Name DR. ROBERT G. BRUNETTI (C.E.O.)
Authorized Official Telephone 8476401112
Authorized Official Credential D.D.S.
Is Organization Subpart Y
Parent Organization Name PROCARE DENTAL GROUP, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 060-008822 IL Dental Providers

Other Provider/Organization Names

Other Name Type Code
LakeSide Dentistry Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528246212 Procare Dental Group, P.C. Dentist 434 West Ontario Street, Ste 300, Chicago, IL 60654 2008-02-05
1669539904 Procare Dental Group, P.C. Dentist 805 Mchenry Ave, Crystal Lake, IL 60014-9794 2007-01-03
1821160904 Procare Dental Group, P.C. Dentist 1057 N Northwest Hwy, Park Ridge, IL 60068-1805 2006-11-14
1114975828 Procare Dental Group, P.C. Dentist 605 E Algonquin Rd, Suite 300, Arlington Heights, IL 60005-4373 2006-05-05
1578620712 Procare Dental Group, P.C. Dentist 2266 N Lincoln Ave, Unit 1, Chicago, IL 60614-3718 2007-01-03
1124185467 Procare Dental Group, P.C. Dentist 5445 Grand Ave, Ste 202, Gurnee, IL 60031-1725 2007-01-03
1912064155 Procare Dental Group, P.C. Dentist 115 S Grove Ave, Ste 204, Elgin, IL 60120-6430 2007-01-03
1649337882 Procare Dental Group, P.C. Dentist 5301 E State St, Ste 307a, Rockford, IL 61108-2901 2007-01-03
1811054059 Procare Dental Group, P.C. Dentist 715 Ela Rd, Ste 1a, Lake Zurich, IL 60047-6300 2007-01-03
1215094883 Procare Dental Group, P.C. Dentist 7 Blanchard Cir, Ste Llg, Wheaton, IL 60187-1037 2007-01-03

Office Location

Street Address 820 DAVIS ST
STE 460
City EVANSTON
State IL
Zip Code 60201-4431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346240728 Michael A Stein Specialist 820 Davis St, Suite 100, Evanston, IL 60201-4431 2005-07-28
1720451701 Nadine Salahuddin Behavioral Analyst 820 Davis St, Suite 455, Evanston, IL 60201-4431 2015-11-12
1679940688 Ashley Wahnschaff Behavioral Analyst 820 Davis St, Suite 455, Evanston, IL 60201-4431 2015-08-25
1124408323 Roma Mirutenko Behavioral Analyst 820 Davis St, Suite 455, Evanston, IL 60201-4431 2015-06-02
1124406624 Carrie Skalla Social Worker 820 Davis St, Suite 455, Evanston, IL 60201-4431 2015-05-15
1851783013 Lifespeed, LLC Behavioral Analyst 820 Davis St, Suite 455, Evanston, IL 60201-4431 2015-02-25
1245647924 Christine Price Behavioral Analyst 820 Davis St, 455, Evanston, IL 60201-4431 2014-07-15
1386076644 Anthony Russo Behavioral Analyst 820 Davis St, Evanston, IL 60201-4431 2013-08-08
1457635104 Emily Elizabeth Lieber Social Worker 820 Davis St, Evanston, IL 60201-4431 2011-09-29
1790948685 Thomas N Hammerman Marriage & Family Therapist 820 Davis St, Suite 211, Evanston, IL 60201-4431 2008-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356962898 Sebastian Andres Cruz Internal Medicine Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2020-05-06
1053970442 Wade Gilman Family Medicine 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 2019-06-10
1922577949 Elizabeth Wilton Therapy, LLC Counselor 2901a Central St Ste 3, Evanston, IL 60201 2018-11-20
1952887812 Sg Wellness LLC Clinic/Center 3008 Central Street, Evanston, IL 60201 2018-07-13
1689169591 Michael Kert Zijlstra Internal Medicine Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 2018-06-25
1982199725 Elizabeth Hannah Lees Internal Medicine Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 2018-06-25
1730674565 Ashley Elizabeth Aller Internal Medicine Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2018-06-25
1669967683 Ayush N Shah Internal Medicine 2650 Ridge Ave Ste 5315, Evanston, IL 60201 2018-06-22
1811481062 Jeffrey D. Brow Internal Medicine 2650 Ridge Ave Rm 5315, Evanston, IL 60201 2018-06-20
1831687250 Michael Patrick Murphy Radiology 807 Davis St. Unit 707, Evanston, IL 60201 2018-05-01
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669876983 Meira R. Berman Dmd PC Dentist 1605 Benson Ave, Evanston, IL 60201-3717 2014-10-15
1578972303 Andre Amarante Dentist 2424 Main St, Evanston, IL 60202 2014-08-06
1023263241 Richard S Hopf D.d.s. P.C. Dentist 500 Davis Street, Suite 504, Evanston, IL 60201-4668 2008-12-02
1518117357 Emily M Williams Dentist 1560 Sherman Ave Ste 610, Evanston, IL 60201-4806 2008-09-29
1417128059 Dan J Nykaza Dds Ltd Dentist 2200 Central Street, Evanston, IL 60201 2008-03-21
1346410636 Liliana Stevoff Dentist 724 Noyes St Apt F2, Evanston, IL 60201-2847 2008-03-03
1306014782 Kathryn Delfs Dentist 500 Davis St Ste 106, Evanston, IL 60201-4600 2008-02-19
1659598704 Dan Joseph Nykaza Dentist 2200 Central St, Evanston, IL 60201-1416 2007-04-19
1285762971 Charles Anthony Mcbroom Dentist 1029 Howard St Ste 203, Evanston, IL 60202-3877 2007-03-02
1457405987 Green Bay Trail Dentistry Dentist 2632 Green Bay Rd, Evanston, IL 60201 2007-01-22
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Competitor

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City EVANSTON
Zip Code 60201

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Dataset Information

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.

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