DR. FABIAN DAVID LATOCHA D.D.S
NPI 1033167242
Dentist - Oral and Maxillofacial Surgery in Gurnee, IL

Q: What is Fabian Latocha's NPI number?

The NPI number for Fabian Latocha is 1033167242. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Fabian Latocha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Fabian Latocha was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2006PECOS Enrolled

202 S GREENLEAF ST, SUITE A, GURNEE, IL 60031(847) 623-2830(847) 623-1534 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Fabian David Latocha D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FABIAN DAVID LATOCHA D.D.S (NPI 1033167242) is an individual oral and maxillofacial surgery provider in Gurnee, Illinois and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033167242

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. FABIAN DAVID LATOCHACredential: D.D.S

Location Address202 S GREENLEAF ST, SUITE AGurnee, IL 60031-3399

Mailing Address13380 W 21st StWadsworth, IL 60083-9474 · (847) 746-7517

Phone(847) 623-2830

Fax(847) 623-1534

Sole ProprietorNo

Enumeration DateMay 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033167242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

202 S GREENLEAF ST, Gurnee, IL 60031

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fabian David Latocha D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UROLOGY SPECIALISTS OF LAKE COUNTY, S.C.

Specialist

202 S GREENLEAF ST, SUITE D
GURNEE, IL 60031

Lake County (847) 599-1111

ORAL & MAXILLOFACIAL SURGEONS OF LAKE COUNTY, P.C.

Dentist (Oral and Maxillofacial Pathology)

202 S GREENLEAF ST, SUITE A
GURNEE, IL 60031

Lake County (847) 623-2830

ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD

Internal Medicine (Hematology & Oncology)

202 S GREENLEAF ST, SUITE E
GURNEE, IL 60031

Lake County (847) 336-6111

WAUKEGAN CLINIC CORP

Durable Medical Equipment & Medical Supplies

202 S GREENLEAF ST, SUITE E
GURNEE, IL 60031

Lake County (847) 336-6111

SAMANTHA WILEY M.S., L.C.G.C

Genetic Counselor, MS

202 S GREENLEAF ST, SUITE E
GURNEE, IL 60031

Lake County (847) 336-6111

ILLINOIS SKILLED CARE, LLC

Home Health

202 S GREENLEAF ST, SUITE C
GURNEE, IL 60031

Lake County (847) 360-7660

ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.

Specialist

202 S GREENLEAF ST, SUITE E
GURNEE, IL 60031

Lake County (847) 336-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fabian Latocha's NPI number?

The NPI number for Fabian Latocha is 1033167242. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Fabian Latocha located?

Fabian Latocha practices at 202 S Greenleaf St Suite A, Gurnee, IL 60031. The listed phone number is (847) 623-2830.

What is Fabian Latocha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Fabian Latocha enrolled in Medicare?

Yes. Fabian Latocha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fabian Latocha was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.