MT. PROSPECT DENTAL EXCELLENCE, LTD (NPI# 1952452047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952452047 |
| Entity Type | Organization |
| Organization Name | MT. PROSPECT DENTAL EXCELLENCE, LTD |
| Practice Address |
1640 N. Arlington Heights Rd. Suite 201 Arlington Heights IL 60004 |
| Practice Telephone | 8472591111 |
| Practice Fax Number | 8472592222 |
| Mailing Telephone | 8472591111 |
| Mailing Fax Number | 8472592222 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | DR. JOHN E. COSTELLO (DENTIST/OWNER) |
| Authorized Official Telephone | 8472591111 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 19A12900 | IL | Ambulatory Health Care Facilities |
| Street Address |
1640 N. ARLINGTON HEIGHTS RD. SUITE 201 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134663719 | Emily Barnas | Clinic/Center | 207 E Hackberry Dr, Arlington Heights, IL 60004-1513 | 2016-12-15 |
| 1609211218 | Foundation Sport & Spine, Inc. | Clinic/Center | 415 W Golf Rd Ste 12, Arlington Heights, IL 60005-3923 | 2013-05-08 |
| 1861710097 | Heart Check America, Inc | Clinic/Center | 2010 Arlington Heights Rd Ste 104, Arlington Heights, IL 60005-4100 | 2010-05-12 |
| 1427257658 | Tlc Vc, LLC | Clinic/Center | 1500 W Shure Dr, Suite 125, Arlington Heights, IL 60004-1443 | 2007-07-17 |
| 1851419261 | Dennis M. Mondo D.d.s.,p.c. | Clinic/Center | 3448 N Old Arlington Heights Rd, Arlington Heights, IL 60004-1552 | 2007-03-26 |
| 1588091623 | Av-acumed P.C. | Clinic/Center | 306 W Campus Dr, Suite D, Arlington Heights, IL 60004-7831 | 2013-10-03 |
| 1144519729 | Keresztesy Chiropractic PC | Clinic/Center | 55 W Golf Rd, Arlington Heights, IL 60005-3905 | 2011-04-04 |
| 1790970390 | Davenport Chiropractic Wellness Center PC | Clinic/Center | 3350 W Salt Creek Ln, Suite 109, Arlington Heights, IL 60005-5023 | 2007-09-07 |
| 1265638191 | Northwestern Oriental Medicine | Clinic/Center | 515 E Golf Rd, Suite 108, Arlington Heights, IL 60005-4089 | 2007-06-26 |
| 1881749109 | Corrective Chiropractic Center, Ltd | Clinic/Center | 612 E Golf Rd, Arlington Heights, IL 60005-4061 | 2007-01-25 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
Please comment or provide details below to improve the information on MT. PROSPECT DENTAL EXCELLENCE, LTD.
| 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.