SMILE ON OF NORTH SHORE, PC (NPI# 1891264644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891264644 |
| Entity Type | Organization |
| Organization Name | SMILE ON OF NORTH SHORE, PC |
| Practice Address |
707 Lake Cook Rd. Suite 121 Deerfield IL 60015 |
| Practice Telephone | 2242828939 |
| Practice Fax Number | 7733374988 |
| Mailing Telephone | 2242828939 |
| Mailing Fax Number | 7733374988 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | PAUL PONCZA (OWNER) |
| Authorized Official Telephone | 2242828939 |
| Authorized Official Credential | DDS. DABDSM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
707 LAKE COOK RD. SUITE 121 |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| 1063906162 | Nicholas Papa | Behavior Technician | 1161 Lake Cook Road, Deerfield, IL 60015 | 2018-06-21 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894528 | Sleepsafellc | Durable Medical Equipment & Medical Supplies | 701 Lee St Ste 640, Des Plaines, IL 60016-4548 | 2020-06-05 |
| 1801416045 | Midwest Coach Builders, Inc | Durable Medical Equipment & Medical Supplies | 200 Easy St Ste I, Carol Stream, IL 60188-2399 | 2020-04-17 |
| 1154962389 | Windy City Medtek LLC | Durable Medical Equipment & Medical Supplies | 1305 Remington Rd Ste E, Schaumburg, IL 60173-4820 | 2019-09-29 |
| 1811452501 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2863 95th St Ste 143, Naperville, IL 60564-9006 | 2019-02-06 |
| 1760951818 | Always Great Smiles Dot Com PC | Durable Medical Equipment & Medical Supplies | 586 Duane St, Glen Ellyn, IL 60137-4639 | 2018-11-19 |
| 1285123349 | Sleep Better Illinois LLC | Durable Medical Equipment & Medical Supplies | 261 N Randall Rd Ste 103, Lake In The Hills, IL 60156-5999 | 2018-05-04 |
| 1588151302 | Rinella Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 27w130 Roosevelt Rd # 2e, Winfield, IL 60190-1611 | 2018-04-17 |
| 1205353695 | Nutoys Leisure Products, Inc. | Durable Medical Equipment & Medical Supplies | 915 W Hillgrove Ave, La Grange, IL 60525-5823 | 2017-08-25 |
| 1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
| 1508303553 | Kasper Healthcare Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 11535 183rd Pl, Orland Park, IL 60467-4905 | 2017-01-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SMILE ON OF NORTH SHORE, PC.
| 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.