HIGHLAND PARK OMS


Address: 1893 Sheridan Rd, Suite 311, Highland Park, IL 60035-2628
Phone: 8474336636

HIGHLAND PARK OMS (NPI# 1912283730) 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) 1912283730
Entity Type Organization
Organization Name HIGHLAND PARK OMS
Practice Address 1893 Sheridan Rd
Suite 311
Highland Park
IL 60035-2628
Mailing Address 1893 Sheridan Rd
Suite 311
Highland Park
IL 60035
Practice Telephone 8474336636
Practice Fax Number 8474332090
Mailing Telephone 8474336636
Mailing Fax Number 8474332090
Enumeration Date 2011-10-25
Last Update Date 2011-10-25
Authorized Official Name DR. MARK B JACOB (OWNER)
Authorized Official Telephone 8474336636
Authorized Official Credential DDS, MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
019022948 IL Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
021002059 IL Dental Providers

Office Location

Street Address 1893 SHERIDAN RD
SUITE 311
City HIGHLAND PARK
State IL
Zip Code 60035-2628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154320042 Lauren K Jacker Psychiatry & Neurology 1893 Sheridan Rd, #303, Highland Park, IL 60035-2628 2005-07-21
1841786464 Cindy Robinson Counselor 1893 Sheridan Rd, Highland Park, IL 60035-2628 2018-07-06
1487044335 Lauren Jacker Md LLC Psychiatry & Neurology 1893 Sheridan Rd, Suite 303, Highland Park, IL 60035-2628 2015-01-30
1417198169 Randal A. Knudson Dds PC Dentist 1893 Sheridan Rd, Suite 315, Highland Park, IL 60035-2628 2009-03-10
1699949958 David Smyth Dentist 1893 Sheridan Rd, Suite 301, Highland Park, IL 60035-2628 2008-04-17
1548481872 Jan Brenner Speech-Language Pathologist 1893 Sheridan Rd, Suite Number 303, Highland Park, IL 60035-2628 2007-05-02
1851518468 Wendy C Abrams Speech-Language Pathologist 1893 Sheridan Rd, Suite 303, Highland Park, IL 60035-2628 2007-04-18
1245352442 Steven Craig Sommerfeld Dentist 1893 Sheridan Rd, Suite 309, Highland Park, IL 60035-2628 2007-04-06
1295859874 Stephen Terence Herczeg Psychologist 1893 Sheridan Rd, 302, Highland Park, IL 60035-2628 2007-03-19
1205902194 Keith Mellovitz Dentist 1893 Sheridan Rd, Suite 318, Highland Park, IL 60035 2006-11-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140006 Julian Jay Freeman Internal Medicine 1954 1st St., Suite 263, Highland Park, IL 60035 2019-05-22
1851838858 Melissa Block Lactation Consultant, Non-RN 303 Sheridan Road, Highland Park, IL 60035 2017-01-27
1750838280 Megan Hyatt Physical Therapist Central Parkway, Store #210, Highland Park, IL 60035 2016-09-01
1962865907 Timothy C Dennis Counselor 1724 1st St., Nicasa, Highland Park, IL 60035 2016-03-29
1821458027 Sarah Marie Pinger Counselor 1724 1st Street, Highland Park, IL 60035 2016-03-01
1508262775 Jennifer Francis Gilbert Social Worker 1067 Centerfield Court, Highland Park, IL 60035 2014-11-14
1588070148 Hpoms Clinic/Center 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 2014-07-03
1477974152 Mtca Psychological Services of Illinois P.C. Psychologist 1651 Richfield Avenue, Highland Park, IL 60035 2013-12-23
1760819510 Linda Beth Greco Social Worker 274 Linden Park Place, Highland Park, IL 60035 2013-10-10
1770821373 Eve Cooper Agin Counselor 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 2013-01-17
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861647588 Nathan Braverman Dmd Md PC Dentist 1770 First St., 350, Highland Park, IL 60035-3200 2008-11-21
1205945425 Nathan Alan Braverman Dentist 1770 First Street, Suite 350, Highland Park, IL 60035-5601 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255986576 Othman Rezki Dentist 1900 W Polk St # 611, Chicago, IL 60612-3723 2019-08-04
1215410584 David Peterson Dentist 1619 Brandywine Ln, Dixon, IL 61021-8757 2018-09-12
1952887374 Winnebago Braces, LLC. Dentist 555 N Court St Ste 110, Rockford, IL 61103-6898 2018-07-18
1093232951 Robert C. Bosack, Dds & Associates, Ltd Dentist 16011 108th Ave Ste A, Orland Park, IL 60467-8787 2017-08-23
1790146132 Family Millennium Dentistry, Inc. Dentist 1342 W Randolph St, Chicago, IL 60607-1522 2016-03-13
1770962375 Eunsu Jung Dentist 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 2015-05-28
1811374945 Alexandria Hawkins Dentist 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 2015-04-27
1043607872 Alissa Nicole Pullos Dentist 105 E 1st St Ste 103, Hinsdale, IL 60521 2015-04-20
1538592654 Matthew Seena Hamedani Dentist 3116 Oak Park Ave, Berwyn, IL 60402 2013-08-13
1578907689 M Timothy Murphy Dentist 500 Davis St Ste 509, Evanston, IL 60201-4621 2013-04-18
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Competitor

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City HIGHLAND PARK
Zip Code 60035

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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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