DR. VICTOR HUGO RENDON JR. (NPI# 1891932505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891932505 |
| Entity Type | Individual |
| Full Name | DR. VICTOR HUGO RENDON JR. |
| Practice Address |
1805 Broadway St Melrose Park IL 60160-2025 |
| Practice Telephone | 7083955172 |
| Mailing Telephone | 7083955172 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2013-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.027752 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720641368 | Victor Michael Rendon | Student in an Organized Health Care Education/Training Program | 501 N West St, Wilmington, DE 19801-2139 | 2019-04-18 |
| 1942473665 | Victor Manuel Rendon | Pharmacy Technician | 1633 Gremlin Way, Spring Valley, CA 91977 | 2008-04-03 |
| 1568451292 | Victor Hugo Rendon | Dentist | 3354 W 63rd St, Chicago, IL 60629-3317 | 2005-10-15 |
| Street Address |
1805 BROADWAY ST |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1588833024 | Juliet Audrey Siegel | Dentist | 2537 W North Ave, Melrose Park, IL 60160-1121 | 2008-02-28 |
| 1811199656 | Javier Mauricio Ramirez | Dentist | 2537 W. North Ave, Melrose Park, IL 60160 | 2007-06-04 |
| 1346441219 | Flor D. Loya, D.d.s., Ltd | Dentist | 154 N 19th Ave, 200, Melrose Park, IL 60160-3718 | 2007-05-30 |
| 1043389299 | Carlos J Alberttis | Dentist | 1908 W Lake St, Melrose Park, IL 60160-3728 | 2006-11-06 |
| 1598746364 | George D Di Tola Dds Ltd | Dentist | 3521 W Lake St, Melrose Park, IL 60160-2825 | 2005-11-09 |
| 1396369112 | Manas Chug | Dentist | 2537 W North Ave, Melrose Park, IL 60160-1121 | 2020-06-08 |
| 1639798390 | David Monin | Dentist | 2537 W North Ave, Melrose Park, IL 60160-1121 | 2020-04-13 |
| 1124546759 | Sapna Mary Mathews | Dentist | 3521 W Lake St, Melrose Park, IL 60160-2825 | 2017-09-04 |
| 1992249536 | Dana Susan Shabeeb | Dentist | 1812 Broadway St, Melrose Park, IL 60160-2039 | 2016-12-16 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.