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STEPHANIE BOLLOW
NPI 1639799901
Dentist - Pediatric Dentistry in Chicago, IL

Active since April 16, 2020PECOS Enrolled
801 S PAULINA ST, CHICAGO, IL 60612(312) 996-7532 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2023, Apr 16, 2020 (2 updates tracked since 2020).

About Stephanie Bollow NPPES

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

STEPHANIE BOLLOW (NPI 1639799901) is an individual pediatric dentistry provider in Chicago, Illinois, licensed in Illinois (021.003194) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1639799901
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSTEPHANIE BOLLOW
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address801 S Paulina St Rm 256dChicago, IL 60612-7210
Phone(312) 996-7532
Sole ProprietorNo
Enumeration DateApril 16, 2020
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1639799901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021.003194
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
801 S PAULINA ST, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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)

Stephanie Bollow 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 60612 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 20

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

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Stephanie Bollow's NPI number?

The NPI number for Stephanie Bollow is 1639799901. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Stephanie Bollow located?

Stephanie Bollow practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (312) 996-7532.

What is Stephanie Bollow's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Stephanie Bollow enrolled in Medicare?

Yes. Stephanie Bollow is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Bollow accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Stephanie Bollow 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 Stephanie Bollow was last updated on January 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.