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

Active since May 04, 2006Opted out of Medicare · through Oct 1, 2026
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: August 02, 2026.

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 has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

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

ⓘ

Opted out of Medicare

Dr. Fabian David Latocha D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2008 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2008
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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?

No. Fabian Latocha has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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.