BRACES TOWN PC (NPI# 1881169134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881169134 |
| Entity Type | Organization |
| Organization Name | BRACES TOWN PC |
| Practice Address |
3020 S Cicero Ave Cicero IL 60804-3638 |
| Practice Telephone | 7088632000 |
| Mailing Telephone | 7088632000 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | CECILIA ARTEAGA (OFFICE MANAGER) |
| Authorized Official Telephone | 7088632000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRACES TOWN PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Braces Town PC | Doing Business As Name - Organization |
| Street Address |
3020 S CICERO AVE |
| City | CICERO |
| State | IL |
| Zip Code | 60804-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295935369 | Sinan A Razzak | Dentist | 3020 S Cicero Ave, Cicero, IL 60804-3638 | 2007-07-18 |
| 1770141426 | Dina Alqawasma | Dentist | 3020 S Cicero Ave, Cicero, IL 60804-3638 | 2019-05-29 |
| 1295094563 | Jack Kou | Dentist | 3020 S Cicero Ave, Cicero, IL 60804-3638 | 2012-05-08 |
| 1063789584 | Image Dental LLC | Dentist | 3020 S Cicero Ave, Cicero, IL 60804-3638 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
| 1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
| 1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
| 1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
| 1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
| 1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
| Find all providers in zip 60804 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1487195418 | Cicero Family Dental Care | Clinic/Center | 8382 Elta Dr, Cicero, NY 13039-8905 | 2017-03-09 |
| 1609002724 | Hoosier Dentures & Dental Surgery, LLC | Clinic/Center | 1200 S Peru St, Cicero, IN 46034-9161 | 2009-06-03 |
| 1063685196 | Dental Shine, Ltd | Clinic/Center | 2319 S Cicero Ave, Cicero, IL 60804-2451 | 2008-04-09 |
| 1467920686 | Vdc Cicero Corp | Clinic/Center | 3320 S Cicero Ave, Cicero, IL 60804-4531 | 2018-11-06 |
| 1326537887 | Reginald Woo Dmd Ltd. | Clinic/Center | 5315 W Cermak Rd, Cicero, IL 60804-2817 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| 1033729090 | Thomas Lim Orthodontics Ltd | Clinic/Center | 1015 Waukegan Rd, Northbrook, IL 60062-3717 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.