DR. JOHN M. VICKERY


Address: 1290 Shermer Rd, Suite #3, Northbrook, IL 60062-4567
Phone: 8474809141

DR. JOHN M. VICKERY (NPI# 1972728863) 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) 1972728863
Entity Type Individual
Full Name DR. JOHN M. VICKERY
Credential DDS
Practice Address 1290 Shermer Rd
Suite #3
Northbrook
IL 60062-4567
Mailing Address 1439 Coral Pkwy
Northbrook
IL 60062-5192
Practice Telephone 8474809141
Practice Fax Number 8474809143
Mailing Telephone 8474809141
Mailing Fax Number 8474809143
Enumeration Date 2007-04-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
IL Dental Providers

Other Providers JOHN VICKERY

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1124249719 John David Vickery Psychologist 3363 Highway 45 North, Jackson, TN 38305 2007-05-01
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Office Location

Street Address 1290 SHERMER RD
SUITE #3
City NORTHBROOK
State IL
Zip Code 60062-4567

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861552846 Harlan W. Haimes, D.d.s., Ltd. Dentist 1290 Shermer Rd, Suite 2, Northbrook, IL 60062-4567 2006-12-11
1407074537 Aron B. Katz Optometrist 1290 Shermer Rd, Northbrook, IL 60062-4567 2007-04-23
1265650311 Aron B. Katz O.d. P.C. Eyewear Supplier (Equipment, not the service) 1290 Shermer Rd, Northbrook, IL 60062-4567 2007-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487067 Cvs Aoc Services, L.L.C. Optometrist 936 Willow Road, Store 0141, Northbrook, IL 60062 2020-05-06
1386103885 Jennifer Venegas Behavior Technician 5 Revere Dr Suit 120, Northbrook, IL 60062 2019-03-14
1720558281 Taylor Hundley Behavior Technician 5 Revere Dr. Suite 120, Northbrook, IL 60062 2018-11-27
1609344027 Melissa Cepeda Behavior Technician 5 Revere Dr Suite 120, Northbrook, IL 60062 2018-11-03
1235606658 Candace Cheyenne Kaiser Behavior Technician 5 Revere Dr, Suite 120, Northbrook, IL 60062 2018-10-24
1275058745 The Renfrew Center of Illinois Counselor 5 Revere Dr, Suite 100, Northbrook, IL 60062 2017-08-07
1467984773 Ayzenshteyn Chiropractic Chiropractor 3210 Doolittle Dr., Northbrook, IL 60062 2017-03-28
1396282695 Josephine Driscoll Physician Assistant 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 2017-01-24
1396297842 Lauren Raphael Lcsw LLC Social Worker 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 2016-11-01
1851847073 Jassim Vailoces Physical Therapist 634 Academy Dr, Northbrook, IL 60062 2016-08-28
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861552846 Harlan W. Haimes, D.d.s., Ltd. Dentist 1290 Shermer Rd, Suite 2, Northbrook, IL 60062-4567 2006-12-11
1467449751 Edward H Segal Dentist 1500 Shermer Rd, Suite 340w, Northbrook, IL 60062-5340 2005-10-01
1134143977 Edward H. Segal, D.d.s., Ltd. Dentist 1500 Shermer Rd, Suite 340w, Northbrook, IL 60062-5340 2006-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891309399 Dominik Dubravec Dds Mmsc PC Dentist 555 W Court St Ste 202, Kankakee, IL 60901-3674 2020-09-02
1598374167 Dubravec Periodontal Specialists PC Dentist 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 2020-07-29
1972145183 Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr Dentist 820 E 87th St Ste 201, Chicago, IL 60619-6256 2019-10-09
1083192389 Amirreza Ghassemi Dentist 2800 College Ave Bldg 285, Alton, IL 62002-4742 2018-07-30
1508355678 Periodontal Associates, LLP Dentist 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 2018-05-04
1043750714 Bloomingdale Dental Rez, PC Dentist 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 2017-03-01
1114398831 Dubravec Periodontal Associates, PC Dentist 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 2015-10-08
1689059297 Amer Atassi Dentist 6224 S Elm St, Burr Ridge, IL 60527-5228 2015-07-24
1013304724 Elliott T. Deweese Dentist 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 2015-04-20
1215345939 Mark Kolozenski, Dds, Ms, PC Dentist 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 2014-07-25
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Competitor

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City NORTHBROOK
Zip Code 60062

Improve Information

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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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