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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
1336364793 | John David Vickery Iv | Allergy & Immunology | 37 Calumet Pkwy, Building F, Suite 201, Newnan, GA 30263-6734 | 2007-04-13 |
Street Address |
1290 SHERMER RD SUITE #3 |
City | NORTHBROOK |
State | IL |
Zip Code | 60062-4567 |
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 |
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 |
Find all providers in zip 60062 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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 |
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 |
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 |
Find all providers with the same taxonomy |
City | NORTHBROOK |
Zip Code | 60062 |
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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.