DR. LOUDJINE JEAN-MICHEL
NPI 1154729598
Dentist in Chicago, IL

Active since December 17, 2014PECOS Enrolled
1701 W MONTEREY AVE STE 9, CHICAGO, IL 60643(773) 445-9880 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Loudjine Jean-michel NPPES

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

DR. LOUDJINE JEAN-MICHEL (NPI 1154729598) is an individual dentist in Chicago, Illinois, licensed in Illinois (019029286) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Detroit Mercy School Of Dentistry (2011).

NPPES Registry Identity

NPI1154729598
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LOUDJINE JEAN-MICHEL
Location Address1701 W MONTEREY AVE STE 9Chicago, IL 60643-4257
Mailing Address10062 S Prospect AveChicago, IL 60643-2166
Sole ProprietorYes
Medical School CMSUniversity Of Detroit Mercy School Of DentistryGraduated 2011
Enumeration DateDecember 17, 2014
NPI 1154729598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019029286
Definition
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.
1701 W MONTEREY AVE STE 9, Chicago, IL 60643

Accepted Insurance

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. Loudjine Jean-michel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850804345
PECOS Enrollment IDI20250627003163
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 60643 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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

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

Nurse Practitioner (Primary Care)
1701 W MONTEREY AVE STE 9
CHICAGO, IL 60643

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 Loudjine Jean-michel's NPI number?

The NPI number for Loudjine Jean-michel is 1154729598. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Where is Loudjine Jean-michel located?

Loudjine Jean-michel practices at 1701 W Monterey Ave Ste 9, Chicago, IL 60643. The listed phone number is (773) 445-9880.

What is Loudjine Jean-michel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Loudjine Jean-michel enrolled in Medicare?

Yes. Loudjine Jean-michel is registered in the Medicare PECOS enrollment system.

What insurance does Loudjine Jean-michel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 8 other insurers list Loudjine Jean-michel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Loudjine Jean-michel was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.