Dentist Providers In Niles, Illinois

Search Dentist NPI records in Niles, IL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Niles, IL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 85, of which 34 are registered as organizations and 51 as individuals. 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.

60% Individuals

40% Organizations

25% Female

35% Male

60% Individual Providers (51)40% Medical Organizations (34)25% Female Providers (21)35% Male Providers (30)

Map of Providers

We have mapped the Dentist providers in Niles, IL to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Niles, IL
NPI	Name	Address	Insurance	Medicare	PECOS
1013028083	SCOTT W SHORE (Individual)	9101 N GREENWOOD AVE NILES, IL 60714 (847) 299-1095	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1013662246	DIAMOND PLUS ORTHODONTICS BY BUBON ORTHODONTICS (Organization)	241 GOLF MILL CTR STE 905 NILES, IL 60714 (847) 298-6030	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1023032604	CHILDREN'S & ADOLESCENT DENTISTRY, LTD (Organization)	9101 N GREENWOOD AVE SUITE 308 NILES, IL 60714 (847) 299-1095	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1033114434	GARY M LAMANTIA (Individual)	7942 W OAKTON ST NILES, IL 60714 (847) 823-0260	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental of Illinois Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1033190913	SEUNG EUN BAIK (Individual)	9101 N GREENWOOD AVE SUITE#202 NILES, IL 60714 (847) 296-9100	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Illinois Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1033315023	TEJAS N JOSHI (Individual)	7763 N NORDICA AVE NILES, IL 60714 (847) 209-1298	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1033515820	ROGER J. POGORZELSKI D.D.S., P.C. (Organization)	6759 N MILWAUKEE AVE NILES, IL 60714 (847) 647-2202		Non-Participating Provider	NO
1033924691	PRIYA SHAH DDS PLLC (Organization)	7942 W OAKTON ST NILES, IL 60714 (219) 794-6333		Non-Participating Provider	NO
1043215445	RICHARD C MAZANEK (Individual)	7942 W OAKTON ST NILES, IL 60714 (847) 823-0260	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1043379373	SPIRO BARLAS (Individual)	241 GOLF MILL CENTER SUITE 721 GOLF MILL PROFESSIONAL BUILDING NILES, IL 60714 (847) 298-4440	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1053729467	MARY GRACE KIM (Individual)	8321 W GOLF RD NILES, IL 60714 (847) 720-3504	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Dominion National Guardian Humana Oscar Health Plan Inc. Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1063605186	BOZENA E WOLNIAK (Individual)	7042 N MILWAUKEE AVE NILES, IL 60714 (847) 647-2090	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1073502035	JAMIE Y PARK (Individual)	8622 W GOLF RD NILES, IL 60714 (847) 299-5990	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1083763965	DOROTHY ANNA ANASINSKI (Individual)	8216 W OAKTON ST NILES, IL 60714 (847) 685-6686		Non-Participating Provider	YES
1083888358	MAURICE A NETTER DDS LTD (Organization)	9101 N GREENWOOD AVE SUITE 305 NILES, IL 60714 (847) 635-1176		Non-Participating Provider	NO
1093089690	NWDG NILES LLC (Organization)	7886 N MILWAUKEE AVE NILES, IL 60714 (847) 423-2488		Non-Participating Provider	NO
1093864530	SUZANNE M BONO (Individual)	8747 N OKETO AVE NILES, IL 60714 (847) 966-4566	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	YES
1093878563	BARBARA A LASKOWSKI (Individual)	7900 N MILWAUKEE AVE SUITE 230A NILES, IL 60714 (847) 966-9000	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1114090750	KRYSTYNA WAGENHEJM CIESIELSKI DDS PC OMDENT (Organization)	7900 N MILWAUKEE AVE STE 2-21B NILES, IL 60714 (847) 581-9400		Non-Participating Provider	NO
1114090826	ISAAC PARAMPOTTIL ISAAC (Individual)	8565 WEST DEMPSTER ST SUITE 112 NILES, IL 60714 (847) 292-6640	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas DentaQuest Insurance Company Inc- IL Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1134312978	JACEK W WOLNIAK (Individual)	7042 N MILWAUKEE AVE NILES, IL 60714 (847) 647-2090		Non-Participating Provider	NO
1134654692	DENTAL SPECIALISTS OF NILES (Organization)	8216 W OAKTON ST NILES, IL 60714 (847) 685-6686		Non-Participating Provider	NO
1144431453	RONALDO MONTEMAYOR MACAM (Individual)	8872 N MILWAUKEE AVE NILES, IL 60714 (847) 298-9676		Non-Participating Provider	NO
1154601995	IWONA DANUTA KOCHANSKI (Individual)	7900 N MILWAUKEE AVE 202-B NILES, IL 60714 (847) 581-9400	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1164318267	MILONI NITIN PATEL (Individual)	8957 W GOLF RD NILES, IL 60714 (847) 297-4815		Non-Participating Provider	NO
1164571790	RAYMOND J BIELINSKI (Individual)	8747 N OKETO AVE NILES, IL 60714 (847) 966-4566	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1194032128	CHRISTOPHER CHUNG (Individual)	876 CIVIC CENTER DR NILES, IL 60714 (847) 583-1900	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1205840329	LEO DON MORTON (Individual)	9101 N GREENWOOD AVE SUITE 308 NILES, IL 60714 (847) 299-1095	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1245211200	WILLIAM URI WAX (Individual)	7900 N. MILWAUKEE AVE SUITE 2-24 NILES, IL 60714 (847) 470-0240	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1255346631	DRS. KATZ AND DOLNICK, P.C. (Organization)	241 GOLF MILL CTR SUITE 718 NILES, IL 60714 (847) 299-3365		Non-Participating Provider	NO
1255610812	ORIANNA ALBAZI, DDS P.C. (Organization)	8430 W ROSEVIEW DR NILES, IL 60714 (615) 423-8353		Non-Participating Provider	NO
1275522153	CHRIS KYROS (Individual)	8957 W GOLF RD NILES, IL 60714 (847) 827-9850	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Dominion National Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1275796591	RONALD PATRICK GIOMETTI (Individual)	6954 W TOUHY AVE SUITE 201 NILES, IL 60714 (847) 647-7815		Non-Participating Provider	NO
1285016709	OAK MILL FAMILY DENTAL NILES FAMILY DENTAL (Organization)	7900 N MILWAUKEE AVE SUITE 2-30A NILES, IL 60714 (847) 965-4300		Non-Participating Provider	NO
1285070615	OAK MILL DENTAL GROUP CORP (Organization)	7900 N MILWAUKEE AVE SUITE 2-24 NILES, IL 60714 (847) 470-0240	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1306198726	L. ZINGERMAN, D.D.S., P.C. NILES FAMILY DENTAL (Organization)	7313 N HARLEM AVE NILES, IL 60714 (847) 663-1040		Non-Participating Provider	NO
1366690067	MIA MYOUNGAH SEO (Individual)	876 CIVIC CENTER DR NILES, IL 60714 (847) 583-1900		Non-Participating Provider	NO
1366695751	MICHAEL BASHEER ALBAZZAZ (Individual)	400 GOLF MILL CTR NILES, IL 60714 (847) 296-6686	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1386769305	MALGORZATA PIENKOWSKI DDS LTD (Organization)	8107 N MILWAUKEE AVE NILES, IL 60714 (847) 470-8822		Non-Participating Provider	NO
1396893764	MARK J. HOLZER (Individual)	241 GOLF MILL CTR SUITE 812 NILES, IL 60714 (847) 298-5885	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL	Non-Participating Provider	YES
1407028624	LAMANTIA & MAZANEK LTD. SUBURBAN DENTAL CENTER (Organization)	7942 W OAKTON ST NILES, IL 60714 (847) 823-0260	DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1407986953	PHILIP KAFIN (Individual)	7900 N MILWAUKEE AVE STE 2-30A NILES, IL 60714 (847) 385-4322		Non-Participating Provider	NO
1417068594	DENTAL PERFECTION (Organization)	9052 GOLF RD NILES, IL 60714 (847) 297-4815		Non-Participating Provider	NO
1417215484	DENTAL MAGIC OF NILES (Organization)	5622 W TOUHY AVE NILES, IL 60714 (773) 360-1281		Non-Participating Provider	NO
1437320553	JAMIE Y. PARK, D.D.S., LTD (Organization)	8622 W GOLF RD NILES, IL 60714 (847) 299-5990	Aetna CVS Health DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1447362678	SIMON BOYARSKIY (Individual)	241 GOLF MILL CTR SUITE 502 NILES, IL 60714 (847) 299-9400	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Illinois DentaQuest Insurance Company Inc- IL First Commonwealth Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1457418295	SPIRO BARLAS,D.D.S.,P.C. (Organization)	GOLF MILL PROFESSIONAL BUILDING 241 GOLF MILL CENTER,SUITE 721 NILES, IL 60714 (847) 298-4440		Non-Participating Provider	NO
1508008988	GLOBAL DENTAL ASSOCIATES (Organization)	8269 W GOLF RD NILES, IL 60714 (312) 316-1993	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1508080110	NORTHWESTERN DENTAL GROUP LTD (Organization)	7745 N MILWAUKEE AVE NILES, IL 60714 (847) 967-6744	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1528253986	PAUL S BARTKOWSKI (Individual)	7042 N MILWAUKEE AVE NILES, IL 60714 (847) 647-2090		Non-Participating Provider	NO
1558644047	CHOONGSEO CHUNG DDS PC (Organization)	876 CIVIC CENTER DR NILES, IL 60714 (847) 583-1900	DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1578546909	NADIA ODISH (Individual)	8118 N MILWAUKEE AVE SUITE100 NILES, IL 60714 (847) 692-0900	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1578618245	LORETTE M. LUKSHA (Individual)	8222 W OAKTON ST NILES, IL 60714 (847) 823-6100		Non-Participating Provider	NO
1578769204	ROGER J POGORZELSKI (Individual)	6759 N MILWAUKEE AVE NILES, IL 60714 (847) 647-2202	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1609107929	VINA DENTAL LTD (Organization)	8118 N MILWAUKEE AVE SUITE 100 NILES, IL 60714 (847) 692-0900	Aetna CVS Health DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1609921394	MARTIN J PIEKOS D.D.S. & LORETTE M LUKSHA D.D.S.,P.C. DRS. PIEKOS & LUKSA, DDS,PC (Organization)	8222 W OAKTON ST NILES, IL 60714 (847) 823-6100		Non-Participating Provider	NO
1609945773	MULVANEY DENTAL PC (Organization)	7745 N MILWAUKEE AVE NILES, IL 60714 (847) 967-6744		Non-Participating Provider	NO
1649038142	SIMON BOYARSKIY DDS LTD (Organization)	8747 N OKETO AVE NILES, IL 60714 (847) 299-9400		Non-Participating Provider	NO
1649234683	MARINA BOROCHIN (Individual)	9052 W GOLF RD NILES, IL 60714 (847) 297-4815	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1659426310	MARTIN J. PIEKOS (Individual)	8222 W OAKTON ST NILES, IL 60714 (847) 823-6100		Non-Participating Provider	NO
1659560464	DR JOHN D MCMAHON LTD (Organization)	8100 OAKTON ST NILES, IL 60714 (847) 823-5142		Non-Participating Provider	NO
1659729655	DENTAL MAGIC TOUHY, INC DENTAL MAGIC (Organization)	5622 W TOUHY AVE NILES, IL 60714 (847) 983-4202		Non-Participating Provider	NO
1669904124	RALPH N. ROBBINS D.D.S., LTD. (Organization)	241 GOLF MILL PROF. BLDG. SUITE 905 NILES, IL 60714 (847) 298-6030		Non-Participating Provider	NO
1679530315	LEON ZINGERMAN (Individual)	7313 N HARLEM AVE NILES, IL 60714 (847) 663-1040	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1700056371	CHRIS KYROS, D.D.S., LTD. (Organization)	8957 W GOLF RD NILES, IL 60714 (847) 827-9850		Non-Participating Provider	NO
1700158300	ANNA M KANSKA-MCCONKEY (Individual)	9020 N MILWAUKEE AVE NILES, IL 60714 (847) 824-5990	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Dominion National Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1730216367	CHRISTOPHER CHAH (Individual)	241 GOLF MILL CTR SUITE 925 NILES, IL 60714 (847) 635-8002	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1730228180	IGOR LUBAEV (Individual)	8704 W GOLF RD NILES, IL 60714 (847) 296-7070	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1740493220	RALPH N. ROBBINS (Individual)	241 GOLF MILL PROFESSIONAL BUILDING SUITE 905 NILES, IL 60714 (847) 298-6030		Non-Participating Provider	NO
1760464762	ELIZABETH PAJAK (Individual)	8526Q W GOLF RD NILES, IL 60714 (847) 583-8181		Non-Participating Provider	NO
1760565295	CORAZON CATALLA CASTROVERDE-DIOKNO (Individual)	8517 W NORMAL AVE NILES, IL 60714 (847) 692-4868		Non-Participating Provider	NO
1770946378	MALGORZATA PIENKOWSKA (Individual)	8107 N. MILWAUKEE NILES, IL 60714 (847) 470-8822		Non-Participating Provider	NO
1780127480	NILES DENTAL CARE P.C. NILES DENTAL CARE P.C. (Organization)	8031 N MILWAUKEE AVE NILES, IL 60714 (847) 470-0240	Aetna CVS Health DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1790169076	PARTH NANAVATI (Individual)	9201 N ASHLAND AVE NILES, IL 60714 (847) 962-0222	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Illinois Dominion National First Commonwealth Insurance Company Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1821154907	RICHARD CHARLES KRUGER (Individual)	9101 N GREENWOOD AVE STE 204 NILES, IL 60714 (847) 827-0660		Non-Participating Provider	NO
1821482001	KRYSTYNA WAGENHEJM-CIESIELSKI (Individual)	7900 N MILWAUKEE AVE STE 2-21B NILES, IL 60714 (847) 581-9400	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	NO
1841371242	MAURICE ALLEN NETTER (Individual)	9101 N GREENWOOD AVENUE SUITE 305 NILES, IL 60714 (847) 635-1176		Non-Participating Provider	NO
1841920667	PRIYA ILESH SHAH (Individual)	7942 W OAKTON ST NILES, IL 60714 (847) 823-0260	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Indiana Dominion National Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861229148	PRO DENTAL IL - CHAD WISE PC (Organization)	5622 W TOUHY AVE NILES, IL 60714 (847) 983-4202		Non-Participating Provider	NO
1881936540	DR. KATZ & DR. DOLNICK (Organization)	241 GOLF MILL CTR SUITE 718 NILES, IL 60714 (847) 299-3365	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1891718920	STEPHANIE S LEE (Individual)	9101 N GREENWOOD AVE SUITE 201 NILES, IL 60714 (847) 297-0018	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1922520469	VRUSHTI PRAHARSH PATEL (Individual)	5622 W TOUHY AVE NILES, IL 60714 (847) 983-4202	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Companion Life Insurance Company Delta Dental of Illinois Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1942264890	IRA J DOLNICK (Individual)	241 GOLF MILL CTR SUITE 718 NILES, IL 60714 (847) 299-3365	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1972955458	D2 DENTAL OF LANSING, P.C. (Organization)	5622 W TOUHY AVE NILES, IL 60714 (847) 983-4202	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1992874044	LAWRENCE A MULVANEY (Individual)	7745 N MILWAUKEE AVE NILES, IL 60714 (847) 967-6744	Guardian	Non-Participating Provider	NO

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