DR. THEODORE JOHN CONSTANTINE (NPI# 1982753182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982753182 |
| Entity Type | Individual |
| Full Name | DR. THEODORE JOHN CONSTANTINE |
| Credential | DDS |
| Practice Address |
1501 Shermer Rd Northbrook IL 60062 |
| Practice Telephone | 8472726466 |
| Practice Fax Number | 8472721487 |
| Mailing Telephone | 8472726466 |
| Mailing Fax Number | 8472721487 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019021638 | IL | Dental Providers |
| Street Address |
1501 SHERMER RD |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062 |
| 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 | 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 |
|---|---|---|---|---|
| 1497028096 | David Jay Myers | Dentist | 2845 Floral Drive, Northbrook, IL 60062-6401 | 2012-02-14 |
| 1104070176 | Michael R. Camino | Dentist | 1275 Shermer Rd., #3, Northbrook, IL 60062 | 2008-11-04 |
| 1114187721 | Martin Marshack | Dentist | 4165 Dundee Rd, Northbrook, IL 60062-2129 | 2008-06-17 |
| 1063537223 | Herbert Lester Weinfield | Dentist | 860 Winchester Lane, Northbrook, IL 60062-3300 | 2007-03-20 |
| 1114085073 | Michael J Schmookler | Dentist | 3400 W Dundee Rd, Suite 100, Northbrook, IL 60062 | 2006-12-04 |
| 1154400638 | Arnold W Gorchow | Dentist | 1535 Lake Cook Rd Ste 104, Northbrook, IL 60062-1450 | 2006-11-03 |
| 1447365705 | Ernst Krygers Janzen | Dentist | 1220 Meadow Road, Suite 300, Northbrook, IL 60062-9998 | 2006-08-20 |
| 1588639132 | Thomas Edward Downey | Dentist | 1220 Meadow Rd, 204, Northbrook, IL 60062-3698 | 2006-02-17 |
| 1306849252 | Steven Neal Kacel | Dentist | 1535 Lake Cook Rd, Ste 107, Northbrook, IL 60062-1450 | 2005-05-24 |
| 1639585243 | Erica Gilbert | Dentist | 1707 Shermer Rd, Suite 202, Northbrook, IL 60062-5316 | 2014-07-02 |
| Find all providers in NORTHBROOK | ||||
| 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.