Dentist Providers In Naperville, Illinois

Search Dentist NPI records in Naperville, IL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Naperville, IL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 331, of which 107 are registered as organizations and 224 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.

68% Individuals

32% Organizations

25% Female

43% Male

68% Individual Providers (224)32% Medical Organizations (107)25% Female Providers (83)43% Male Providers (141)

Map of Providers

We have mapped the Dentist providers in Naperville, 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 Naperville, IL
NPI	Name	Address	Insurance	Medicare	PECOS
1003316035	DENTAL PROFESSIONALS OF ILLINOIS, P.C. PREMIER DENTAL CENTER (Organization)	309 W OGDEN AVE NAPERVILLE, IL 60563 (630) 355-3339	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1003536269	TAWFIK ABDUL DAYEM (Individual)	55 S MAIN ST STE 241 NAPERVILLE, IL 60540 (630) 848-2010	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Sheld 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 Dominion National First Commonwealth Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1003968215	JOHN MCNAMARA (Individual)	1795 S WASHINGTON ST SUITE 108 NAPERVILLE, IL 60565 (630) 305-0511		Non-Participating Provider	YES
1003987645	MICHAEL SCOTT SCHERER (Individual)	2323 NAPERVILLE RD STE 160 NAPERVILLE, IL 60563 (630) 364-2888	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 Guardian	Opted out of Medicare	YES
1013025444	ELAINE WAITE PIEDRA (Individual)	127 W AURORA AVE NAPERVILLE, IL 60540 (630) 579-6000		Non-Participating Provider	NO
1013072040	JEROME A BERGAMINI (Individual)	405 S MAIN ST NAPERVILLE, IL 60540 (630) 357-7273	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
1013074251	PROCARE DENTAL GROUP, P.C. NAPERBROOK DENTISTRY (Organization)	1304 MACOM DR STE 4 NAPERVILLE, IL 60564 (630) 585-5005	Aetna CVS Health Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1013121748	DAVID LYNN JONES (Individual)	1816 BAY SCOTT CIR STE 104 NAPERVILLE, IL 60540 (630) 527-8686		Non-Participating Provider	NO
1013248368	OGDEN VALLEY DENTAL (Organization)	1224 W OGDEN AVE NAPERVILLE, IL 60563 (630) 305-6161	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1013368786	JOHN CAIRNS (Individual)	4015 PLAINFIELD NAPERVILLE RD STE 106 NAPERVILLE, IL 60564 (630) 369-8700	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 Wisconsin Inc. Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1023192952	NAPERVILLE DENTAL ASSOCIATES, LTD. (Organization)	1220 HOBSON RD SUITE 240 NAPERVILLE, IL 60540 (630) 369-0101		Non-Participating Provider	NO
1023363603	IRENE JOVICIC (Individual)	55 S MAIN ST SUITE 241 NAPERVILLE, IL 60540 (630) 848-2010	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1023631611	CONOR PATRICK RYAN (Individual)	1852 BAY SCOTT CIR STE 108 NAPERVILLE, IL 60540 (630) 355-1940		Non-Participating Provider	NO
1023632551	STEPHEN MACROWSKI (Individual)	2879 95TH ST STE 131 NAPERVILLE, IL 60564 (630) 753-9955	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	NO
1033281928	TIMOTHY NOEL CROMBIE (Individual)	4425 MONTGOMERY RD SUITE 101 NAPERVILLE, IL 60564 (630) 904-1000		Non-Participating Provider	NO
1033355482	CATHERINE S RHIM (Individual)	3103 111TH ST NAPERVILLE, IL 60564 (630) 904-5600	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 Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1033763313	CODY LINDLEY (Individual)	1807 S WASHINGTON ST STE 107 NAPERVILLE, IL 60565 (630) 369-3120	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 Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1033953641	C & N GRATHWOL DMD P.C. (Organization)	1108 E OGDEN AVE NAPERVILLE, IL 60563 (630) 778-9500		Non-Participating Provider	NO
1043383292	NICHOLAS P PRIMIANO (Individual)	231 E OGDEN AVE NAPERVILLE, IL 60563 (630) 357-9850		Non-Participating Provider	YES
1043393275	KASTYTIS MARIUS ZYMANTAS (Individual)	309 W OGDEN AVE NAPERVILLE, IL 60563 (630) 355-3339	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 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 Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1043486970	JOHN F. JIMENEZ, D.D.S., P.C FRONTIER PLACE FAMILY DENTAL (Organization)	3360 LACROSSE LN SUITE #100 NAPERVILLE, IL 60564 (630) 369-4477		Non-Participating Provider	NO
1053322867	STEVEN YUAN (Individual)	55 S MAIN ST STE 241 NAPERVILLE, IL 60540 (630) 848-2010	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan 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 Delta Dental of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1053491290	JAMIE KATHLEEN MOSS (Individual)	1747 FROST LN NAPERVILLE, IL 60564 (630) 778-0824	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 Delta Dental of Illinois Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1053568824	ASHBURY DENTAL CLINIC INC (Organization)	2272 W 95TH ST SUITE 315 NAPERVILLE, IL 60564 (630) 717-0111	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1053647263	MILOSLAVA M MILLER (Individual)	2547 PLAINFIELD NAPERVILLE RD SUITE 124 NAPERVILLE, IL 60564 (630) 305-0055	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1053648865	KENNETH JAY COLLEN (Individual)	1250 N MILL ST NAPERVILLE, IL 60563 (630) 355-7400		Non-Participating Provider	NO
1063553659	DENNIS CRAIG JOHNSON (Individual)	8 W GARTNER RD SUITE 124 NAPERVILLE, IL 60540 (630) 369-8000	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 Renaissance Dental	Non-Participating Provider	NO
1063570687	DR. PLANER & ASSOCIATES, LTD (Organization)	300 E 5TH AVE STE 400 NAPERVILLE, IL 60563 (630) 369-6818		Non-Participating Provider	NO
1073252466	JAI VAIBHAV LAKSHMI SERVICE CORPORATION SMILE & SHINE DENTAL SOLUTIONS (Organization)	618 S ROUTE 59 STE 122 NAPERVILLE, IL 60540 (201) 268-4096	UnitedHealthcare	Non-Participating Provider	NO
1073351110	HANNAH DILDAY (Individual)	572 WESTON RIDGE DR STE 120 NAPERVILLE, IL 60563 (630) 364-2554		Non-Participating Provider	NO
1073515193	MAGGIE W AUGUSTYN (Individual)	1304 MACOM DR NAPERVILLE, IL 60564 (630) 585-5005	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
1073611471	RICK D ALWAN (Individual)	1292 RICKERT DR SUITE 144 NAPERVILLE, IL 60540 (630) 717-8700		Non-Participating Provider	NO
1073786406	JEFFREY M. GRIMLEY, DDS, PC (Organization)	1980 THREE FARMS AVE SUITE 112 NAPERVILLE, IL 60540 (630) 369-6980		Non-Participating Provider	NO
1083063671	SADDLEWOOD FAMILY DENTISTRY ENGLISH ROWS DENTAL GROUP (Organization)	3027 ENGLISH ROW AVE SUITE 203 NAPERVILLE, IL 60564 (630) 904-1106		Non-Participating Provider	NO
1083734164	PAULA SHANNON JONES (Individual)	1341 BRANCHWOOD CIR SUITE 202 NAPERVILLE, IL 60563 (630) 369-4506		Non-Participating Provider	NO
1083774418	THOMAS F. BROWN (Individual)	1807 S WASHINGTON ST STE 107 NAPERVILLE, IL 60565 (630) 369-3120	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	NO
1083797856	THOMAS M DONOHUE (Individual)	1220 HOBSON RD STE 224 NAPERVILLE, IL 60540 (630) 961-0996		Non-Participating Provider	NO
1083800346	ELIZABETH DREW SPENCE (Individual)	535 FAIRWAY DR 135 NAPERVILLE, IL 60563 (630) 548-4140	Guardian	Non-Participating Provider	YES
1083907828	TARIQ RIYAL (Individual)	201 HAMPSHIRE CT NAPERVILLE, IL 60565 (630) 863-8342	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 Delta Dental of Illinois Guardian Humana	Non-Participating Provider	NO
1093056707	ROBERT G. THOMAS D.D.S. M.S. LTD. THOMAS ORTHODONTICS (Organization)	3124 SOUTH ROUTE 59 SUITE 132 THOMAS ORTHODONTICS NAPERVILLE, IL 60564 (630) 904-7600		Non-Participating Provider	NO
1093465007	MOHAMMED SHAMS (Individual)	2414 FLAMBEAU DR NAPERVILLE, IL 60564 (630) 696-0716		Non-Participating Provider	NO
1093568321	DESIGN 32 DENTAL P.C. (Organization)	1336 N RTE 59 SUITE # 100 NAPERVILLE, IL 60563 (847) 890-2186		Non-Participating Provider	NO
1093904435	AMIT SUD DDS @ ANITA VERMA DDS WOODLAKE FAMILY DENTAL (Organization)	2879 W 95TH ST STE 131 NAPERVILLE, IL 60564 (630) 753-9955	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1104121698	ANN MARIE LISNICH (Individual)	8 W. GARTNER ROAD NAPERVILLE, IL 60540 (630) 369-8000		Non-Participating Provider	NO
1114023454	RONALD L WINN (Individual)	2547 PLAINFIELD NAPERVILLE RD STE 124 NAPERVILLE, IL 60564 (630) 305-0055	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 Renaissance Dental	Non-Participating Provider	NO
1114168648	MADLENA VELEVA (Individual)	2603 S WASHINGTON ST 100 NAPERVILLE, IL 60565 (630) 548-2300		Non-Participating Provider	NO
1114189982	JOSHUA FOXSON (Individual)	605 S WASHINGTON ST NAPERVILLE, IL 60540 (630) 708-6637	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 Illinois Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1114395845	DENTAL CARE OF NAPERVILLE (Organization)	2048 AURORA AVE UNIT 108 NAPERVILLE, IL 60540 (630) 808-9691	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1114467354	ORTHODONTIC CARE CENTER (Organization)	2547 PLAINFIELD NAPERVILLE RD SUITE 104 NAPERVILLE, IL 60564 (630) 420-4145		Non-Participating Provider	NO
1124225826	ANGELICA A VAN DYKE (Individual)	127 AURORA AVENUE NAPERVILLE, IL 60540 (630) 579-6000	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 Paramount Paramount Dental	Non-Participating Provider	NO
1124234851	MARIO J PARISI DDS LTD (Organization)	6 S 235 STEEPLE RUN DRIVE NAPERVILLE, IL 60540 (630) 961-9692		Non-Participating Provider	NO
1124384011	ANJANETTA MARIE WONDERLICK (Individual)	1112 S WASHINGTON ST SUITE 211 NAPERVILLE, IL 60540 (630) 355-5211	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 Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1134132947	KABIL CHUNPRAPAPH (Individual)	1304 MACOM DR STE 4 NAPERVILLE, IL 60564 (630) 585-5005	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	YES
1134268725	FRANZ WEYANDT (Individual)	2879 W 95TH ST SUITE 131 NAPERVILLE, IL 60564 (630) 922-9100		Non-Participating Provider	NO
1134541881	DENTAL POINTE (Organization)	760 N ROUTE 59 SUITE 100 NAPERVILLE, IL 60563 (630) 333-9571	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1144003104	JENNIE KIM (Individual)	55 S MAIN ST STE 241 NAPERVILLE, IL 60540 (630) 848-2010	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1144360942	DR. JEROME A. BERGAMINI ORAL & MAXILLO FACIAL SURGERY, LLC (Organization)	405 SOUTH MAIN STREET NAPERVILLE, IL 60540 (630) 357-7273	UnitedHealthcare	Non-Participating Provider	NO
1154623684	SUSAN A CASCINO, DDS, PC (Organization)	1816 BAY SCOTT CIR STE 104 NAPERVILLE, IL 60540 (630) 355-5010		Non-Participating Provider	NO
1164046819	JUWERIA AMJED (Individual)	4015 PLAINFIELD NAPERVILLE RD STE 106 NAPERVILLE, IL 60564 (630) 326-7056	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 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 Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1164626123	EDWARD A CODO (Individual)	24 W 500 MAPLE AVE #103 NAPERVILLE, IL 60540 (630) 355-4336	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	YES
1164836912	DENTAL ROOTS PC (Organization)	4015 PLAINFIELD NAPERVILLE RD SUITE 106 NAPERVILLE, IL 60564 (630) 369-8700	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
1164839213	JUEI LEE (Individual)	111 SPRING AVE NAPERVILLE, IL 60540 (781) 752-6427	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
1174124945	ASHTON DENTAL PC (Organization)	1212 S NAPER BLVD STE 113 NAPERVILLE, IL 60540 (630) 596-5018	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1174765218	ALEXANDER LUIS FIGUEROA (Individual)	1220 HOBSON ROAD SUITE 228 NAPERVILLE, IL 60540 (630) 778-7198		Non-Participating Provider	NO
1184131500	HATEM M GELANI (Individual)	552 S WASHINGTON ST STE 220 NAPERVILLE, IL 60540 (231) 737-0037	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 Delta Dental of Illinois Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1184159550	CHIRAG AJAY PARIKH (Individual)	4827 S ROUTE 59 STE. 115 NAPERVILLE, IL 60564 (630) 527-6000	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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1184291163	DIKSHA AGRAWAL (Individual)	1767 W OGDEN AVE STE 123 NAPERVILLE, IL 60540 (630) 983-2600	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1194885210	JULIE MARIE ROMANELLI (Individual)	1048 104TH ST SUITE 108 NAPERVILLE, IL 60564 (630) 904-7100	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 Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1194891945	JOHN A JAESCHKE (Individual)	10 E BENTON AVE NAPERVILLE, IL 60540 (630) 355-0100		Non-Participating Provider	YES
1194919563	MARA MARICH KOVACEVIC (Individual)	2959 ARTESIAN RD SUITE 127 NAPERVILLE, IL 60564 (630) 922-0600	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
1194999375	PRASAD GONAVARUM D.D.S., P.C. SMILES OF NAPERVILLE (Organization)	3020 REFLECTION DR SUITE : 112 NAPERVILLE, IL 60564 (630) 718-1901		Non-Participating Provider	NO
1205034618	LANA SAVOIE FOURDYCE (Individual)	127 AURORA AVE NAPERVILLE, IL 60540 (630) 579-6000	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	NO
1205099454	MARK VICTOR VALENTINAS (Individual)	1001 E CHICAGO AVE #143 NAPERVILLE, IL 60540 (630) 369-0111	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	Non-Participating Provider	NO
1205114097	NEELON CHIRAG PATEL (Individual)	1355 E. OGDEN AVE #105 NAPERVILLE, IL 60563 (630) 687-9292	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 Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1215065818	PHILLIP C MACH (Individual)	1550 N STATE ROUTE 59 NAPERVILLE, IL 60563 (630) 369-6222		Non-Participating Provider	NO
1215125935	CONRAD MAGNO (Individual)	1220 W OGDEN AVE SUITE A NAPERVILLE, IL 60563 (630) 848-1212	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 DentaTrust/DentaSpan Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1215206842	WILLOW RIDGE DENTAL GROUP LLC (Organization)	720 BROM CT SUITE 105 NAPERVILLE, IL 60540 (630) 420-2800		Non-Participating Provider	NO
1225336985	BEATA LEZERKIEWICZ DDSPC (Organization)	552 S WASHINGTON ST SUITE 216 NAPERVILLE, IL 60540 (630) 369-3200		Non-Participating Provider	NO
1225468572	LIBERTY DENTAL OF MAPLEBROOK, LTD. MAPLEBROOK DENTAL (Organization)	363 E BAILEY RD NAPERVILLE, IL 60565 (331) 588-1716	Aetna CVS Health	Non-Participating Provider	NO
1235142852	JAMES OJJEH (Individual)	1304 MACOM DR STE 4 NAPERVILLE, IL 60564 (630) 585-5005	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1235702309	AHMED YEHIA SHAWKY AHMED YOUSSEF (Individual)	1220 HOBSON RD STE 228 NAPERVILLE, IL 60540 (651) 675-6055	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 Wisconsin Inc. DentaTrust/DentaSpan Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1245043769	DENTAL SPECIALISTS OF NAPERVILLE PC (Organization)	2048 AURORA AVE STE 108 NAPERVILLE, IL 60540 (630) 425-8000		Non-Participating Provider	NO
1245329291	ROBERT B JOHN (Individual)	518 SPRINGHILL CIR SUITE 717 NAPERVILLE, IL 60563 (630) 961-5732		Opted out of Medicare	YES
1245400738	DOUGLAS TAYLOR ANDERSON (Individual)	552 S WASHINGTON ST SUITE 220 NAPERVILLE, IL 60540 (630) 357-2525	Ambetter from Home State Health Ambetter Health Ambetter of Illinois Ambetter of Tennessee 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 MedMutual Paramount Paramount Dental	Non-Participating Provider	NO
1245407733	JOSHUA T RICHMAN (Individual)	1303 MACOM DR NAPERVILLE, IL 60564 (630) 851-9100	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 Delta Dental of Iowa Guardian	Maybe Accepts Medicare	YES
1245477900	KEVIN ESCHMEYER, D.M.D., P.C. (Organization)	1825 WEHRLI RD NAPERVILLE, IL 60565 (630) 369-9559	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1255499216	DESIGNDENTAL (Organization)	55 S MAIN ST SUITE 290 NAPERVILLE, IL 60540 (630) 357-3333		Non-Participating Provider	NO
1255839049	DANIELLE ANNE CASCIOLI (Individual)	8 W GARTNER RD STE 168 NAPERVILLE, IL 60540 (630) 420-9090	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 Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1265544712	LANCE LAW (Individual)	1001 E CHICAGO AVE STE 143 NAPERVILLE, IL 60540 (630) 369-0111	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1265562698	IAN ELLIOTT (Individual)	1315 MACOM DR SUITE 106 NAPERVILLE, IL 60564 (630) 862-3600		Non-Participating Provider	NO
1265606925	NORTHWEST NAPERVILLE DENTAL CLINIC (Organization)	1620 PEBBLEWOOD LN SUITE 152 NAPERVILLE, IL 60563 (630) 717-7055	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1275047086	NEHA GUPTA (Individual)	1224 W OGDEN AVE NAPERVILLE, IL 60563 (630) 305-6161	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 Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1275105165	NAPERVILLE DENTISTRY LLC (Organization)	1568 W OGDEN AVE STE 108 NAPERVILLE, IL 60540 (630) 247-7216	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1275752610	PAUL GEORGE CHAMPER (Individual)	1259 S NAPER BLVD NAPERVILLE, IL 60540 (630) 369-4844		Non-Participating Provider	NO
1285711697	ROBERT E PIZZURRO (Individual)	1816 BAY SCOTT CIR STE 104 NAPERVILLE, IL 60540 (630) 355-5010		Opted out of Medicare	NO
1285724971	MIHAELA BOGDANOV (Individual)	1001 E CHICAGO AVE STE 143 NAPERVILLE, IL 60540 (630) 369-0111	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1295174365	ADVANCED FAMILY DENTAL AND ORTHODONTICS, P.C. (Organization)	4015 PLAINFIELD NAPERVILLE RD STE 106 NAPERVILLE, IL 60564 (815) 741-1700		Non-Participating Provider	NO
1295303378	AUSTIN LACKE (Individual)	3027 ENGLISH ROWS AVE STE 203 NAPERVILLE, IL 60564 (630) 904-1106	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	Non-Participating Provider	NO
1295359586	PALDIN YOUSEF (Individual)	720 N WASHINGTON ST STE 106 NAPERVILLE, IL 60563 (630) 420-9090	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1295924827	DWIGHT A FREY (Individual)	114 N WASHINGTON ST NAPERVILLE, IL 60540 (630) 357-4060	Aetna CVS Health 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 Guardian	Non-Participating Provider	NO
1306322920	RNJ DENTAL PC DIEHL FAMILY DENTAL (Organization)	1620 PEBBLEWOOD LN NAPERVILLE, IL 60563 (331) 457-2259	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1306681416	KARTHIKA DEVI GOPAGANI (Individual)	1568 W OGDEN AVE STE 108 NAPERVILLE, IL 60540 (630) 447-9997	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Companion Life Insurance Company Delta Dental of Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1306844527	PATRICIA K HUDETZ (Individual)	10334 STATE ROUTE 59 NAPERVILLE, IL 60564 (630) 904-1106		Non-Participating Provider	NO
1306904974	MARGARET BARBARA KOWALCZYK (Individual)	230 W MARTIN AVE NAPERVILLE, IL 60540 (630) 355-1780	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Illinois Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1316076979	WILLIAM P MURPHY (Individual)	24W500 MAPLE AVE SUITE 218 NAPERVILLE, IL 60540 (630) 355-2935		Non-Participating Provider	YES
1316268006	SADDLEWOOD FAMILY DENTISTRY P.C. ENGLISH ROWS DENTAL GROUP (Organization)	3027 ENGLISH ROW AVE STE 203 NAPERVILLE, IL 60564 (630) 904-1106		Non-Participating Provider	NO
1326117698	CYNTHIA B. HAN (Individual)	640 N RIVER RD SUITE 100 NAPERVILLE, IL 60563 (630) 355-3355		Non-Participating Provider	NO
1326192568	JASON F. BROWN (Individual)	1811 FREEDOM DR STE 113 NAPERVILLE, IL 60563 (630) 245-0200	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1326293051	JAMES PAGE WEEKS (Individual)	8 W GARTNER RD SUITE 168 NAPERVILLE, IL 60540 (630) 420-9090		Non-Participating Provider	NO
1346507167	BRYAN WEYNETH (Individual)	1100 SHERMAN AVE #103 NAPERVILLE, IL 60563 (630) 369-5225		Non-Participating Provider	NO
1356648901	NAPERVILLE DENTAL SPECIALISTS AND GENERAL ORAL HEALTH CARE (Organization)	55 S MAIN ST SUITE 241 NAPERVILLE, IL 60540 (630) 848-2010		Non-Participating Provider	NO
1356668248	MICHAEL THOMAS PINK (Individual)	1303 MACOM DR NAPERVILLE, IL 60564 (630) 851-9100	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 Delta Dental of Illinois Guardian Humana	Opted out of Medicare	YES
1366513145	MICHAEL EDWARD BOND (Individual)	200 N WASHINGTON ST SUITE 102 NAPERVILLE, IL 60540 (630) 983-6605		Non-Participating Provider	YES
1366650046	CHRISTOPHER EDWARD KRIZEK (Individual)	720 BROM CT STE 105 NAPERVILLE, IL 60540 (630) 420-2800	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 Dominion National Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	YES
1366679078	ANTHONY JOSEPH REGANATO (Individual)	2879 W 95TH ST STE 131 NAPERVILLE, IL 60564 (630) 753-9955	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1366856163	JORDAN SIMONOVICH (Individual)	523 W 87TH ST NAPERVILLE, IL 60565 (815) 979-4143	Aetna CVS Health 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 Guardian Humana	Non-Participating Provider	YES
1366991655	VALLEY VIEW DENTAL - NAPERVILLE P.C. (Organization)	3103 111TH ST STE 131 NAPERVILLE, IL 60564 (630) 904-5600	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1376050245	ZIEBA DENTISTRY NAPERVILLE, LTD (Organization)	24W500 MAPLE AVE STE 218 NAPERVILLE, IL 60540 (630) 355-2935		Non-Participating Provider	NO
1386736346	DUPAGE DENTAL PC (Organization)	636 RAYMOND DR 102 NAPERVILLE, IL 60563 (630) 579-1600	Aetna CVS Health	Non-Participating Provider	NO
1396299350	WHEATLAND SLEEP SOLUTION (Organization)	5060 ACE LN NAPERVILLE, IL 60564 (630) 904-4444		Non-Participating Provider	NO
1396390340	LINA HAMDAN (Individual)	603 ARLINGTON AVE NAPERVILLE, IL 60565 (331) 980-0199	Aetna CVS Health 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 Humana	Non-Participating Provider	NO
1396880639	LINDA J. RICKS (Individual)	1112 S WASHINGTON ST SUITE 206 NAPERVILLE, IL 60540 (630) 579-0970	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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1396884599	KENNETH R PICKETT (Individual)	1020 E OGDEN AVE SUITE 308 NAPERVILLE, IL 60563 (630) 527-0544	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1407098734	IVORY TOUCH DENTAL (Organization)	1995 SPRINGBROOK SQUARE DR STE 119 NAPERVILLE, IL 60564 (630) 839-9566		Non-Participating Provider	NO
1407206238	HY LINE DENTAL HYLINE DENTAL (Organization)	1301 S ROUTE 59 STE 107 NAPERVILLE, IL 60564 (630) 723-6333	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1407916737	WHITE EAGLE FAMILY DENTISTRY (Organization)	1315 MACOM DR SUITE 201 NAPERVILLE, IL 60564 (630) 978-9005	Aetna CVS Health	Non-Participating Provider	NO
1417028226	MANDEEP RAINA (Individual)	2323 NAPERVILLE RD. SUITE 110 NAPERVILLE, IL 60563 (630) 381-4021	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 Delta Dental of Illinois DentaQuest Insurance Company Inc- IL Florida Combined Life Guardian Humana Renaissance Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	YES
1417077009	HENRY SHARFAEI (Individual)	5060 ACE LN SUITE #100 NAPERVILLE, IL 60564 (630) 904-4444	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Illinois Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1417125345	ASIM AWAN (Individual)	2812 HASSERT BLVD STE 104 NAPERVILLE, IL 60564 (312) 480-8720	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
1417179276	PAUL G CHAMPER DDS PC (Organization)	1259 S NAPER BLVD NAPERVILLE, IL 60540 (630) 369-4844		Non-Participating Provider	NO
1417239401	MISWAK DENTISTRY INC (Organization)	201 HAMPSHIRE CT NAPERVILLE, IL 60565 (630) 863-8342		Non-Participating Provider	NO
1417260159	RICHARD ULRICH (Individual)	6 W 6TH AVE NAPERVILLE, IL 60563 (630) 420-1212	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 Guardian Renaissance Dental	Non-Participating Provider	NO
1417564121	GURSIMRAN REEN, DMD LLC (Organization)	29 S WEBSTER ST STE 108 NAPERVILLE, IL 60540 (630) 355-5988		Non-Participating Provider	NO
1427153956	TODD WILLIS SPRAGG (Individual)	10 E BENTON AVE NAPERVILLE, IL 60540 (630) 355-0100		Non-Participating Provider	YES
1427167485	SUSAN MARIE MAZZEI (Individual)	380 W DIEHL RD NAPERVILLE, IL 60563 (630) 393-3045	Aetna CVS Health Humana Renaissance Dental	Non-Participating Provider	NO
1427261569	DERRICK LYNN WILLIAMSON (Individual)	1220 HOBSON RD SUITE 212 NAPERVILLE, IL 60540 (630) 961-5850	Guardian	Non-Participating Provider	YES
1427329317	MARCIA ENGLEMAN SEFCHECK (Individual)	129 N WASHINGTON ST NAPERVILLE, IL 60540 (630) 961-1049		Non-Participating Provider	NO
1427484575	SARA DESOUZA IAMPAGLIA (Individual)	2058 UNIVERSITY DR NAPERVILLE, IL 60565 (847) 337-1860	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1437045903	VANESSA SANTACRUZ (Individual)	1350 E OGDEN AVE APT 109 NAPERVILLE, IL 60563 (407) 728-6132		Non-Participating Provider	NO
1437635711	ADITI MARTYNIOUK (Individual)	1730 PARK ST STE 106 NAPERVILLE, IL 60563 (630) 674-7860	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1437729621	PAUL SHINJAE KIM (Individual)	618 S ROUTE 59 STE 122 NAPERVILLE, IL 60540 (630) 931-3133	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 Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1437734886	TRU DENTAL ILLINOIS, P.C. (Organization)	931 W 75TH ST STE 107 NAPERVILLE, IL 60565 (630) 357-9393	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1447323696	TIMOTHY NUGENT DDS PC (Organization)	636 RAYMOND DR #102 NAPERVILLE, IL 60563 (630) 579-1600		Non-Participating Provider	NO
1447326988	KAREN RUDMAN HEMBROUGH (Individual)	1220 HOBSON RD SUITE 240 NAPERVILLE, IL 60540 (630) 369-0101		Non-Participating Provider	NO
1447383203	ROBERT LEONARD WHEELER (Individual)	1300 IROQUOIS AVE STE 130 NAPERVILLE, IL 60563 (630) 717-1606	Aetna CVS Health 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 Delta Dental of Illinois Guardian Humana	Non-Participating Provider	YES
1447644802	INNOVATIVE PEDIATRIC DENTISTRY (Organization)	55 S MAIN ST STE 241 NAPERVILLE, IL 60540 (630) 848-2010	Aetna CVS Health	Non-Participating Provider	NO
1447892047	DENTAL GROUP OF NAPERVILLE, P.C. (Organization)	1012 95TH ST STE 5 NAPERVILLE, IL 60564 (630) 425-8000		Non-Participating Provider	NO
1457419129	JOHN FREDERICK JIMENEZ (Individual)	3360 LACROSSE LN SUITE #100 NAPERVILLE, IL 60564 (630) 369-4477	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 Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1457428971	RONALD FRANK PETRUCCI (Individual)	629 SOUTH WASHINGTON STREET NAPERVILLE, IL 60540 (630) 357-5510		Non-Participating Provider	NO
1457435380	JOSEPH EDWARD PETRAUSKAS (Individual)	1220 HOBSON RD SUITE 240 NAPERVILLE, IL 60540 (630) 369-0101		Non-Participating Provider	NO
1457446221	ROBERT EDWARD ODONNELL (Individual)	640 S WASHINGTON ST SUITE 360 NAPERVILLE, IL 60540 (630) 961-1779		Non-Participating Provider	NO
1457744963	SUN DENTAL CARE PC ATI DENTAL CARE (Organization)	572 WESTON RIDGE DR SUITE# 120 NAPERVILLE, IL 60563 (630) 364-2554	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1467177451	YANG ZHOU, DMD, PLLC (Organization)	1239 S NAPER BLVD STE 101 NAPERVILLE, IL 60540 (630) 689-2233		Non-Participating Provider	NO
1467580779	CHRISTOPHER RICHARD HUDETZ (Individual)	3027 ENGLISH ROWS AVE STE 203 NAPERVILLE, IL 60564 (630) 904-1106	Humana	Non-Participating Provider	NO
1467690594	HICKORY HILLS DENTAL CTR., LTD DR. BRIAN D. RUBY (Organization)	114 NORTH WASHINGTON NAPERVILLE, IL 60540 (630) 357-1313		Non-Participating Provider	NO
1467802736	CORY A GRATHWOL (Individual)	47 E CHICAGO AVE STE 344 NAPERVILLE, IL 60540 (630) 778-9500	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1477282952	DHARMIK UMESHBHAI PATEL (Individual)	2879 95TH ST STE 131 NAPERVILLE, IL 60564 (630) 753-9955	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
1477627552	ROGER E PARDON (Individual)	1828 BAY SCOTT CIR SUITE 108 NAPERVILLE, IL 60540 (630) 369-6000		Non-Participating Provider	NO
1477967198	MARIE HUGUELET (Individual)	1807 S WASHINGTON ST SUITE 107 NAPERVILLE, IL 60565 (630) 649-8694	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	NO
1487600292	JOHN M. ZUSKAR (Individual)	121 S WASHINGTON ST NAPERVILLE, IL 60540 (630) 355-0046		Non-Participating Provider	NO
1487642302	DEEPAK AGARWAL (Individual)	1163 E OGDEN AVE STE 403 NAPERVILLE, IL 60563 (630) 416-0780	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 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1487714671	MAPLE PARK DENTAL CARE, P.C. (Organization)	1048 104TH STREET #108 NAPERVILLE, IL 60464 (630) 904-7100		Non-Participating Provider	NO
1497062749	JOHN MARSALA (Individual)	5060 ACE LANE STE 100 NAPERVILLE, IL 60564 (630) 904-4444	Aetna CVS Health 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 Illinois Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1497643845	CLAUDIA KARWOWSKI (Individual)	1807 S WASHINGTON ST STE 107 NAPERVILLE, IL 60565 (630) 318-0440		Non-Participating Provider	NO
1497868285	ROBERT JAMES HUVAR (Individual)	1112 S WASHINGTON ST 202 NAPERVILLE, IL 60540 (630) 420-9890	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 Paramount Paramount Dental	Non-Participating Provider	NO
1497953756	SALEEM WONG SIDDIQUI (Individual)	2879 95TH ST STE 131 NAPERVILLE, IL 60564 (630) 753-9955	Aetna CVS Health Ambetter from Meridian Ambetter Health 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 CareSource Companion Life Insurance Company Delta Dental of Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508013947	HITESH K PATEL (Individual)	1060 E OGDEN AVE NAPERVILLE, IL 60563 (630) 305-7500		Opted out of Medicare	YES
1508037698	HOUSE OS SMILES, PC IROQUOIS DENTAL CENTER (Organization)	1163 E OGDEN AVE SUITE 403 NAPERVILLE, IL 60563 (630) 416-0780	Aetna CVS Health DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1508064809	JACOB DANIEL SURJAN (Individual)	1000 E OGDEN AVE NAPERVILLE, IL 60563 (630) 355-9010	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 Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1508193764	ASMA NUMERA (Individual)	1744 DIPPER CT NAPERVILLE, IL 60565 (213) 820-6487	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 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 DentaQuest Insurance Company Inc- IL Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1508239807	ROBERT GEORGE THOMAS (Individual)	3124 S ROUTE 59 SUITE 132 NAPERVILLE, IL 60564 (630) 904-7600	Aetna CVS Health 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 Delta Dental of Illinois Humana	Non-Participating Provider	NO
1508437765	MEDALITH YASMINE SOMERS (Individual)	1363 FAIRFIELD CT NAPERVILLE, IL 60565 (630) 885-1131	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 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1508533456	FRAS ARBI KATBI (Individual)	1224 W OGDEN AVE NAPERVILLE, IL 60563 (630) 305-6161	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1518319383	ALEC ZUREK (Individual)	1001 N WASHINGTON ST NAPERVILLE, IL 60563 (630) 355-5017		Non-Participating Provider	NO
1518596519	SARAH SYED (Individual)	1301 S ROUTE 59 STE 107 NAPERVILLE, IL 60564 (630) 723-6333	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1528132008	DAVID R NEWKIRK (Individual)	1816 BAY SCOTT CIR SUITE 108 NAPERVILLE, IL 60540 (630) 717-9499		Non-Participating Provider	NO
1528299286	VALERIE L SWAN (Individual)	405 S. MAIN ST. NAPERVILLE, IL 60540 (630) 357-7273	Aetna CVS Health 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	Opted out of Medicare	YES
1528460383	SABEEN HAFEEZ (Individual)	1304 MACOM DR SUITE 4 NAPERVILLE, IL 60564 (630) 585-5005	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 Dominion National First Commonwealth Insurance Company Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1528604949	PAUL V. CAPUTO SR., D.D.S., P.C. (Organization)	3155 BOOK RD STE. 107 NAPERVILLE, IL 60564 (630) 922-1311		Non-Participating Provider	NO
1538211248	DANIEL POPE (Individual)	1891 BAY SCOTT CIR STE 113 NAPERVILLE, IL 60540 (630) 961-5851	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 Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1538234430	ADVANCE FAMILY DENTAL CARE, LTD. (Organization)	1567 N. AURORA RD. #143 NAPERVILLE, IL 60563 (630) 357-2332	Aetna CVS Health Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1538574546	MEREDITH GANTOS (Individual)	720 N WASHINGTON ST STE 106 NAPERVILLE, IL 60563 (630) 420-9090	Guardian	Non-Participating Provider	YES
1538923628	CHRISTINE MICHAELS (Individual)	2728 FORGUE DR STE 118 NAPERVILLE, IL 60564 (630) 420-9717	Aetna CVS Health Delta Dental of Illinois	Non-Participating Provider	NO
1548313125	YONG TAEK SHIM (Individual)	1620 PEBBLEWOOD LN SUITE 152 NAPERVILLE, IL 60563 (630) 717-7055	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 Paramount Paramount Dental	Non-Participating Provider	YES
1558302646	MICHAEL G ELASAAD (Individual)	10334 STATE ROUTE 59 NAPERVILLE, IL 60564 (630) 305-0312	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	Non-Participating Provider	NO
1558402149	FIRST DENTAL P.C. (Organization)	8 W GARTNER RD SUITE 124 NAPERVILLE, IL 60540 (630) 369-8000		Non-Participating Provider	NO
1558509497	MARK SEFCHECK (Individual)	129 N WASHINGTON ST NAPERVILLE, IL 60540 (630) 961-1048		Non-Participating Provider	NO
1558815738	ROHAN VIKRAM SHAH (Individual)	1003 S WASHINGTON ST STE 225 NAPERVILLE, IL 60540 (630) 796-0030	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 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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1568046969	DENTAL PROFESSIONALS OF ILLINOIS, P.C INNOVATIVE ORTHODONTIC CENTERS (Organization)	55 S MAIN ST STE 271 NAPERVILLE, IL 60540 (630) 848-6960	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1568099430	M SADRAMELI DMD LLC (Organization)	3020 REFLECTION DR STE 112 NAPERVILLE, IL 60564 (639) 718-1901		Non-Participating Provider	NO
1568484830	STEPHEN FAKO (Individual)	555 N WASHINGTON ST NAPERVILLE, IL 60563 (630) 355-1355	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
1568724904	PINAL PATEL (Individual)	2048 AURORA AVE STE 108 NAPERVILLE, IL 60540 (630) 425-8000	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 Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1578629531	JILL ANN TASSONE (Individual)	127 AURORA AVE NAPERVILLE, IL 60540 (630) 579-6000	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	Non-Participating Provider	NO
1578674594	KENNETH H PETERSON DDS LTD (Organization)	114 N WASHINGTON ST NAPERVILLE, IL 60540 (630) 357-4060		Non-Participating Provider	NO
1578758140	LIDIA B ICKES (Individual)	55 S MAIN ST SUITE 241 NAPERVILLE, IL 60540 (630) 848-2010	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1578787362	KEVIN P RYAN (Individual)	1852 BAY SCOTT CIR SUITE 108 NAPERVILLE, IL 60540 (630) 355-1940	Guardian	Non-Participating Provider	NO
1578903092	BINDI H PATEL DDS PC (Organization)	1060 E OGDEN AVE SUITE 100 NAPERVILLE, IL 60563 (630) 305-7500		Non-Participating Provider	NO
1588091763	HEEJOON YU SUN (Individual)	1315 MACOM DR STE 201 NAPERVILLE, IL 60564 (630) 978-9005	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 Humana Renaissance Dental	Non-Participating Provider	YES
1588739346	PIROOZ ZOMORRODI (Individual)	1567 N. AURURA RD. #143 NAPERVILLE, IL 60563 (630) 357-2332	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1588977516	CRISTINA TEODORA OLAROV (Individual)	1105 N WASHINGTON ST NAPERVILLE, IL 60563 (630) 995-3769	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 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 First Commonwealth Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1598194276	DALE M. LIPE (Individual)	1891 BAY SCOTT CIR SUITE 113 NAPERVILLE, IL 60540 (630) 355-0806		Non-Participating Provider	NO
1598864308	KEVIN N. ESCHMEYER (Individual)	1825 WEHRLI RD NAPERVILLE, IL 60565 (630) 369-9559	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 Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1598986044	HAROLD PATINO (Individual)	2760 FORGUE DR SUITE 106 NAPERVILLE, IL 60564 (630) 536-1900	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 Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1609030519	JOHN H GERDING (Individual)	24W500 MAPLE AVE SUITE 101 NAPERVILLE, IL 60540 (630) 369-2020		Non-Participating Provider	NO
1609059914	MICHAEL JOHN LAKOTA (Individual)	1767 W OGDEN AVE ST 123 NAPERVILLE, IL 60540 (630) 983-2600	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 Guardian	Non-Participating Provider	NO
1609957596	JUST FOR KIDS PEDIATRIC DENTISTRY, LTD. (Organization)	1220 HOBSON RD STE 224 NAPERVILLE, IL 60540 (630) 961-0996		Non-Participating Provider	NO
1619097706	CHIANN FAN GIBSON (Individual)	55 S MAIN ST SUITE 290 NAPERVILLE, IL 60540 (630) 357-3333	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1619163367	CARL E HENLEYDDS & ASSOCIATES PC (Organization)	931 W 75TH ST SUITE 107 NAPERVILLE, IL 60565 (630) 357-9393		Non-Participating Provider	NO
1629109293	MICHAEL G PESKE (Individual)	720 BROM CT SUITE 201 NAPERVILLE, IL 60540 (630) 983-9800		Non-Participating Provider	NO
1629232863	EDWARD P MARCIN (Individual)	43 W 87TH ST SUITE 123 NAPERVILLE, IL 60565 (630) 717-6858	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1629295423	MICHAEL ERHART (Individual)	1879 BAY SCOTT CIR SUITE 108 NAPERVILLE, IL 60540 (630) 357-9800		Non-Participating Provider	NO
1629485818	WON SUNG, DDS, LLC (Organization)	2756 WHITEHALL LN NAPERVILLE, IL 60564 (213) 249-1765		Non-Participating Provider	NO
1629520077	SHINING SMILES 5 INC (Organization)	618 S ROUTE 59 SUITE 122 NAPERVILLE, IL 60540 (630) 972-4010	UnitedHealthcare	Non-Participating Provider	NO
1629614698	ASHTON DENTAL PC OGDEN DENTAL (Organization)	1767 W OGDEN AVE STE 123 NAPERVILLE, IL 60540 (630) 983-2600	Aetna CVS Health Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1639412380	DAVID CHANG DDS LTD (Organization)	2936 SHOW PLACE DR SUITE 106 NAPERVILLE, IL 60564 (630) 778-0024		Non-Participating Provider	NO
1639432776	THIKAMPHAA BERTRAND (Individual)	1250 N MILL ST STE 100 NAPERVILLE, IL 60563 (630) 995-9107	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 First Commonwealth Insurance Company Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1639859606	CHEYENNE ADALIA DEVON SUAREZ (Individual)	5060 ACE LN STE 100 NAPERVILLE, IL 60564 (630) 904-4444	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1649311226	TODD CHRISTOPHER PUSATERI (Individual)	8 W GARTNER RD SUITE 124 NAPERVILLE, IL 60540 (630) 369-8000		Non-Participating Provider	NO
1649342668	KAVEH NASIREDDIN ADEL (Individual)	612 E OGDEN AVE NAPERVILLE, IL 60563 (630) 369-8950		Non-Participating Provider	NO
1649346594	HITESH K PATEL DDS P C (Organization)	1309 MACOM DR STE 107 NAPERVILLE, IL 60564 (630) 305-7914		Non-Participating Provider	NO
1649415696	KEVIN JAMES THORNSBERRY (Individual)	1767 W. OGDEN AVE SUITE 151 NAPERVILLE, IL 60540 (773) 437-3667		Non-Participating Provider	NO
1649525056	MATTHEW JAMES DRESCHER (Individual)	3155 BOOK RD # 107 NAPERVILLE, IL 60564 (630) 922-1311	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 Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1649593427	ERYN GRACE AMELIA DONOHUE (Individual)	1220 HOBSON RD STE. #224 NAPERVILLE, IL 60540 (630) 961-0996		Non-Participating Provider	NO
1659586170	PRESTIGE ORTHODONTIC (Organization)	1112 SOUTH WASHINGTON STREET SUITE 210 NAPERVILLE, IL 60540 (630) 961-3810		Non-Participating Provider	NO
1659955052	DENTAL PROFESSIONALS OF ILLINOIS, P.C (Organization)	55 S MAIN ST STE 241 NAPERVILLE, IL 60540 (630) 848-2010	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1669103768	ALI MAZIN ALQAYSI (Individual)	1767 W OGDEN AVE STE 123 NAPERVILLE, IL 60540 (630) 983-2600	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1669553269	WILLIAM JUST BLEECKER (Individual)	552 SOUTH WASHINGTON STREET SUITE 105 NAPERVILLE, IL 60540 (630) 355-3556		Non-Participating Provider	NO
1669865135	NAPERVILLE DENTAL GROUP (Organization)	1020 E OGDEN AVE SUITE 308 NAPERVILLE, IL 60563 (630) 527-0544		Non-Participating Provider	NO
1679644819	KURT ARTHUR WAGNER (Individual)	47 E CHICAGO AVE SUITE 344 NAPERVILLE, IL 60540 (630) 778-9500		Non-Participating Provider	NO
1679787592	CHRISTOPHER MICHAEL PALLOTTO (Individual)	5656 ROSINWEED LN NAPERVILLE, IL 60564 (312) 543-3920	Humana	Non-Participating Provider	NO
1689326175	ILLINOIS DENTAL PROFESSIONALS PC (Organization)	405 S MAIN ST NAPERVILLE, IL 60540 (630) 357-7273	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1689710972	ARNOLD RALPH DEANGELIS (Individual)	445 W JACKSON AVE SUITE 104 NAPERVILLE, IL 60540 (630) 961-5851	Aetna CVS Health 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
1699061184	MELINDA Y CHAN (Individual)	1828 BAY SCOTT CIR STE 108 NAPERVILLE, IL 60540 (630) 369-6000	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1699256149	RAINA DENTAL CARE PC RAINA DENTAL CARE PC (Organization)	2323 NAPERVILLE RD. SUITE 110 NAPERVILLE, IL 60563 (630) 381-4021	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1699986976	RICHARD S ULRICH PC (Organization)	6 WEST 6TH AVE NAPERVILLE, IL 60563 (630) 420-1212		Non-Participating Provider	NO
1700594108	HARSHINI VELDANDA (Individual)	1767 W OGDEN AVE STE 123 NAPERVILLE, IL 60540 (630) 983-2600	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	NO
1710057823	KAZ M ZYMANTAS DDS LTD PREMIER DENTAL CENTER (Organization)	309 W OGDEN AVE NAPERVILLE, IL 60563 (630) 355-3339		Non-Participating Provider	NO
1710143177	MAHER JANDALI RIFAI (Individual)	10 WEST MARTIN AVE SUITE 164 NAPERVILLE, IL 60540 (630) 961-5151	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 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1710164173	STEPHEN R. HERTZBERG (Individual)	29 S WEBSTER ST NAPERVILLE, IL 60540 (630) 420-8600		Non-Participating Provider	NO
1710217161	JEFFREY LU, DDS PC NAPERVILLE CROSSINGS DENTAL (Organization)	2936 SHOW PLACE DR SUITE 106 NAPERVILLE, IL 60564 (630) 778-0024	UnitedHealthcare	Non-Participating Provider	NO
1710306972	VAN DYKE PASINSKI DDS RIVERWALK FAMILY DENTAL (Organization)	127 AURORA AVE NAPERVILLE, IL 60540 (630) 579-6000		Non-Participating Provider	NO
1720250608	YEN-CHEN JENNIFER CHEN (Individual)	2752 FORGUE DR. SUITE 118 NAPERVILLE, IL 60564 (630) 420-2465	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1720316342	MICHAEL E. BOND, DDS., PC (Organization)	200 N WASHINGTON ST NAPERVILLE, IL 60540 (630) 983-6605		Non-Participating Provider	NO
1720319445	CONNIE L ONIK (Individual)	720 BROM CT STE 105 NAPERVILLE, IL 60540 (630) 420-2800		Non-Participating Provider	NO
1720472228	GALLERY DENTAL OF NAPERVILLE, LTD (Organization)	629 S WASHINGTON ST NAPERVILLE, IL 60540 (630) 357-5510		Non-Participating Provider	NO
1720664436	WASHINGTON DENTAL STUDIO (Organization)	1003 S WASHINGTON ST STE 225 NAPERVILLE, IL 60540 (832) 766-0144		Non-Participating Provider	NO
1720711864	SAMHITHA PASUPULETI (Individual)	55 S MAIN ST STE 241 NAPERVILLE, IL 60540 (630) 848-2010	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois 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 Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1730311820	GARY M WEBER (Individual)	8 W GARTNER RD SUITE 168 NAPERVILLE, IL 60540 (630) 420-9090		Non-Participating Provider	NO
1740300334	SEMIRA REZAYAZDI (Individual)	5060 ACE LN SUITE #100 NAPERVILLE, IL 60564 (630) 904-4444	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 Illinois Dominion National Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1740392489	MARK DOUGLAS WRIGHT (Individual)	114 N WASHINGTON ST SUITE #4 NAPERVILLE, IL 60540 (630) 355-5335		Non-Participating Provider	YES
1750056404	EMILY HOANG (Individual)	1250 N MILL ST STE 105 NAPERVILLE, IL 60563 (630) 355-7400		Non-Participating Provider	NO
1750441192	THOMAS F. BROWN, LTD. (Organization)	1807 S WASHINGTON ST STE 107 NAPERVILLE, IL 60565 (630) 369-3120		Non-Participating Provider	NO
1750557732	NANCIE C. SPENCER (Individual)	1250 N MILL ST NAPERVILLE, IL 60563 (630) 355-7400		Non-Participating Provider	NO
1750791828	RAYMOND MCMULLEN (Individual)	2547 PLAINFIELD NAPERVILLE RD SUITE 104 NAPERVILLE, IL 60564 (630) 420-4145		Non-Participating Provider	NO
1760570618	THOMAS MICHAEL PIAZZA (Individual)	10 W MARTIN AVE SUITE 116 NAPERVILLE, IL 60540 (630) 357-6400	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	NO
1760683304	DIANE MARIE MACH (Individual)	231 E OGDEN AVE NAPERVILLE, IL 60563 (630) 357-9850		Non-Participating Provider	NO
1760977078	PEBBLEWOOD DENTAL PEBBLEWOOD DENTAL (Organization)	1550 N ROUTE 59 STE 148 NAPERVILLE, IL 60563 (630) 369-6222		Non-Participating Provider	NO
1770950081	HENG XU (Individual)	3811 SUNBURST LN NAPERVILLE, IL 60564 (706) 718-0398	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	NO
1780362871	CRISTINA FRANCISCO (Individual)	4015 PLAINFIELD NAPERVILLE RD STE 106 NAPERVILLE, IL 60564 (630) 300-3610	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 First Commonwealth Insurance Company Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1780720011	JOHN WILLARD MILGRAM (Individual)	24111 W 103RD ST NAPERVILLE, IL 60564 (630) 922-0005	Guardian	Non-Participating Provider	NO
1780780197	NOWELL EDWARD BLECHA (Individual)	10 W MARTIN AVE STE 164 NAPERVILLE, IL 60540 (630) 961-5151		Non-Participating Provider	NO
1780850131	ACDI - NAPERVILLE, LLC. (Organization)	1288 RICKERT DR SUITE #200 NAPERVILLE, IL 60540 (630) 717-9999		Non-Participating Provider	NO
1790149631	STEPHANIE CRAVENS (Individual)	2776 FORGUE DR SUITE 106 NAPERVILLE, IL 60564 (630) 305-0312		Non-Participating Provider	NO
1790998748	DENTAL DESIGN GROUP, INC SMILE DESIGNERS (Organization)	1000 E OGDEN AVE NAPERVILLE, IL 60563 (630) 355-9010	Aetna CVS Health	Non-Participating Provider	NO
1801002506	LYDIA M SOSENKO (Individual)	1100 N SHERMAN AVE SUITE 103 NAPERVILLE, IL 60563 (630) 369-5225	Blue Cross and Blue Shield of Illinois	Non-Participating Provider	NO
1801035092	DON C. KALANT SR., D.D.S. AND ASSOC (Organization)	1303 MACOM DR NAPERVILLE, IL 60564 (630) 851-9100		Non-Participating Provider	NO
1801102124	WHEATLAND DENTAL CARE LTD (Organization)	5060 ACE LANE STE 100 NAPERVILLE, IL 60564 (630) 904-4444		Non-Participating Provider	NO
1801221510	AYESHA HUSAIN PARDESI (Individual)	4015 PLAINFIELD NAPERVILLE RD NAPERVILLE, IL 60564 (630) 326-8700	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 Renaissance Dental	Non-Participating Provider	NO
1801403555	STEPHANIE ELIZABETH MILLER (Individual)	2220 SISTERS AVE NAPERVILLE, IL 60564 (630) 303-6599	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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1801803945	SAM ZURICH (Individual)	535 FAIRWAY DR STE 135 NAPERVILLE, IL 60563 (630) 548-4140	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 Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1801901160	JOSEPH ANTHONY HASELHORST (Individual)	507 S MAIN ST NAPERVILLE, IL 60540 (630) 420-0013		Non-Participating Provider	NO
1811209125	DAVID CHANG (Individual)	2936 SHOW PLACE DR SUITE 106 NAPERVILLE, IL 60564 (630) 778-0024	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	NO
1811413719	CAP DENTAL CARE P.C. (Organization)	555 N WASHINGTON ST. NAPERVILLE, IL 60563 (630) 420-1212		Non-Participating Provider	NO
1821130501	STEFAN M TURCIC (Individual)	1240 W OGDEN AVE NAPERVILLE, IL 60563 (630) 355-2888	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
1821158940	LARISSA O. NAVARRO (Individual)	1550 N ROUTE 59 SUITE 148 NAPERVILLE, IL 60563 (630) 369-6222	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 Dominion National Humana Paramount Paramount Dental	Non-Participating Provider	NO
1821366915	NAPERVILLE ORTHODONTIC ASSOCIATES, P.C. (Organization)	25W380 CHICAGO AVE NAPERVILLE, IL 60540 (630) 995-3547	Aetna CVS Health	Non-Participating Provider	NO
1821402017	KEVEN D WELLS DDS PC LIVING WELL DENTAL GROUP (Organization)	1516 LEGACY CIR UNIT #104 NAPERVILLE, IL 60563 (630) 505-1516		Non-Participating Provider	NO
1821537838	DANIEL J POPE, INC (Organization)	445 JACKSON AVE SUIET 104 NAPERVILLE, IL 60540 (630) 961-5851		Non-Participating Provider	NO
1821540832	DUPAGE DENTAL GROUP (Organization)	1250 N MILL ST #103 NAPERVILLE, IL 60563 (630) 355-7400		Non-Participating Provider	NO
1821758756	DINIKA DINESH JAIN (Individual)	1224 W OGDEN AVE STE B NAPERVILLE, IL 60563 (630) 305-6161	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 Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1831533439	LEON ROBERT CHAMPER (Individual)	1259 S NAPER BLVD NAPERVILLE, IL 60540 (630) 369-4844		Non-Participating Provider	NO
1831534114	JEFFREY MICHAEL SINDELAR (Individual)	567 S WASHINGTON ST NAPERVILLE, IL 60540 (630) 355-2625		Opted out of Medicare	YES
1831611128	KELLY ANNE SCHWABE (Individual)	1220 HOBSON RD STE 240 NAPERVILLE, IL 60540 (630) 369-0101	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
1831985928	MR TEETH DENTAL AND IMPLANT CO. (Organization)	552 S WASHINGTON ST STE 220 NAPERVILLE, IL 60540 (617) 380-8663		Non-Participating Provider	NO
1841032034	ASHTON DENTAL PC (Organization)	931 W 75TH ST STE 107 NAPERVILLE, IL 60565 (630) 332-5901		Non-Participating Provider	NO
1841238698	PAUL V CAPUTO (Individual)	3155 BOOK RD SUITE # 107 NAPERVILLE, IL 60564 (630) 922-1311	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	Opted out of Medicare	YES
1841309929	MARCO TULIO FAJARDO (Individual)	380 W DIEHL RD NAPERVILLE, IL 60563 (630) 393-3045	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
1841411279	SUSAN ANN CASCINO (Individual)	1816 BAY SCOTT CIR STE 104 NAPERVILLE, IL 60540 (630) 355-5010		Opted out of Medicare	YES
1841415213	KEVEN D WELLS (Individual)	1516 LEGACY CIR STE 104 NAPERVILLE, IL 60563 (630) 505-1516	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	NO
1841423068	DAVID A. BORK (Individual)	1212 S NAPER BLVD STE 113 NAPERVILLE, IL 60540 (630) 983-8498	Guardian Humana	Non-Participating Provider	NO
1851121081	VALLEY VIEW DENTAL GROUP LLC (Organization)	3103 111TH ST STE 131 NAPERVILLE, IL 60564 (630) 904-5600		Non-Participating Provider	NO
1851684112	COMFORT CARE FAMILY DENTAL, PC (Organization)	1001 E CHICAGO AVE SUITE 143 NAPERVILLE, IL 60540 (630) 369-0111		Non-Participating Provider	NO
1851897268	MEREDITH GANTOS DDS LLC (Organization)	8 W. GARTNER ROAD 168 NAPERVILLE, IL 60540 (630) 420-9090		Non-Participating Provider	NO
1851964985	VIRGILIA GASKA (Individual)	309 W OGDEN AVE NAPERVILLE, IL 60563 (630) 355-3339	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 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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1861171530	ADRIJA DEEPAK BELUR (Individual)	1767 W OGDEN AVE STE 123 NAPERVILLE, IL 60540 (630) 983-2600	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 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	NO
1861526899	BEATA LEZERKIEWICZ (Individual)	552 S WASHINGTON ST STE 216 NAPERVILLE, IL 60540 (630) 369-3200	Delta Dental of Illinois Guardian	Non-Participating Provider	NO
1861649402	EARL CATON MEDEIROS (Individual)	29 S WEBSTER ST SUITE 390 NAPERVILLE, IL 60540 (630) 355-2555		Non-Participating Provider	NO
1861908444	PRANAV VINOD PATEL (Individual)	1112 S WASHINGTON ST STE 210 NAPERVILLE, IL 60540 (630) 961-3810	Aetna CVS Health Anthem Blue Cross and Blue Shield 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1871638163	RICHARD WILLIAM PUGLIESE (Individual)	1276 E CHICAGO AVE NAPERVILLE, IL 60540 (630) 961-1400		Non-Participating Provider	NO
1871932335	BINDI PATEL (Individual)	1060 E OGDEN AVE NAPERVILLE, IL 60563 (630) 305-7500	Guardian	Non-Participating Provider	NO
1881171338	AREEB YASIN (Individual)	1980 THREE FARMS AVE STE 112 NAPERVILLE, IL 60540 (630) 369-6980	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 Dominion National Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1881208478	POORNIMA SWAMY GANGAJI (Individual)	760 N, ILLINOIS RTE 59 STE100 NAPERVILLE, IL 60563 (630) 333-9571	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1881274678	DENTAL PROFESSIONALS OF ILLINOIS, P.C (Organization)	55 S MAIN ST STE 261 NAPERVILLE, IL 60540 (630) 848-7336	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1881292845	MATTHEW THOMAS RURKA (Individual)	300 E 5TH AVE STE 400 NAPERVILLE, IL 60563 (630) 369-6818	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 UnitedHealthcare	Non-Participating Provider	NO
1881736189	A G DENTAL PC DR. ANJANETTA M WONDERLICK & ASSOCIATES (Organization)	1112 S WASHINGTON ST SUITE 211 NAPERVILLE, IL 60540 (630) 355-5211	UnitedHealthcare	Non-Participating Provider	NO
1881738185	DAVID ALAN SKARIN (Individual)	4 N WASHINGTON ST NAPERVILLE, IL 60540 (630) 369-0045		Non-Participating Provider	NO
1891257796	ANNA MOYNIHAN (Individual)	1807 S WASHINGTON ST SUITE 107 NAPERVILLE, IL 60565 (630) 369-3120	Aetna CVS Health 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 Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1891259271	GOOD DAY DENTAL SLEEP CENTER (Organization)	3027 ENGLISH ROWS AVE SUITE 203 NAPERVILLE, IL 60564 (630) 904-1163		Non-Participating Provider	NO
1891864245	KAREN A BLAIR (Individual)	1220 HOBSON RD SUITE 132 NAPERVILLE, IL 60540 (630) 416-8020	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
1891951786	CARL EDWARD HENLEY (Individual)	931 W 75TH ST STE. 107 NAPERVILLE, IL 60565 (630) 357-9393	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 DentaQuest Insurance Company Inc- IL Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1902236763	TIMOTHY NUGENT (Individual)	636 RAYMOND DR STE 102 NAPERVILLE, IL 60563 (630) 579-1600	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
1902472053	RONALD PAULSON (Individual)	618 S ROUTE 59 STE 122 NAPERVILLE, IL 60540 (630) 931-3133	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 Dominion National Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1922138544	RICHARD JOSEPH REID (Individual)	523 W 87TH ST NAPERVILLE, IL 60565 (630) 983-9877		Non-Participating Provider	NO
1922419274	AFO DENTAL GROUP, LTD STILLWATER DENTAL GROUP, LTD (Organization)	2959 ARTESIAN RD SUITE 127 NAPERVILLE, IL 60564 (630) 809-6678	Aetna CVS Health	Non-Participating Provider	NO
1922857705	KHYATI PATEL (Individual)	1250 N MILL ST NAPERVILLE, IL 60563 (630) 355-7400		Non-Participating Provider	NO
1932267101	MARK V. VALENTINAS DDS,PC (Organization)	1001 E CHICAGO AVE #143 NAPERVILLE, IL 60540 (630) 369-0111		Non-Participating Provider	NO
1932384914	KASHLAN DENTAL PC B & R DENTISTS (Organization)	1116 DICKENS AVE NAPERVILLE, IL 60563 (630) 740-7138	Aetna CVS Health	Non-Participating Provider	NO
1942371166	JOHN S. IRVING (Individual)	567 S WASHINGTON ST NAPERVILLE, IL 60540 (630) 355-2625		Opted out of Medicare	YES
1942415955	JOHN K FRANCIS (Individual)	1315 MACOM DR SUITE 106 NAPERVILLE, IL 60564 (630) 701-2347		Non-Participating Provider	NO
1952511602	ANTHONY LAVACCA (Individual)	55 S MAIN ST SUITE 241 NAPERVILLE, IL 60540 (312) 246-6683	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1952719536	NORTH CREEK DENTAL CARE OF NAPERVILLE (Organization)	523 W 87TH ST NAPERVILLE, IL 60565 (630) 983-9877		Non-Participating Provider	NO
1962525014	JOHN WALTER ZUREK (Individual)	1001 N WASHINGTON NAPERVILLE, IL 60563 (630) 355-5017	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
1962732800	MURMANN DENTAL HEALTH, PC (Organization)	2531 W 75TH ST SUITE 202 NAPERVILLE, IL 60540 (630) 718-1234		Non-Participating Provider	NO
1972146470	BRYAN A WEYNETH DDS PC (Organization)	1100 SHERMAN AVE STE 1031100 NAPERVILLE, IL 60563 (630) 369-5225		Non-Participating Provider	NO
1972278034	PETER WILLIAM STRAKA (Individual)	2879 95TH ST STE 131 NAPERVILLE, IL 60564 (630) 753-9955	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 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	NO
1972647295	AMIT SUD (Individual)	2879 95TH ST STE 131 NAPERVILLE, IL 60564 (630) 753-9955	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
1972677243	DON C KALANT (Individual)	1303 MACOM DRIVE NAPERVILLE, IL 60564 (630) 851-9100	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 Delta Dental of Illinois Dominion National Florida Combined Life Guardian	Opted out of Medicare	YES
1972740991	ASIM AWAN DDS PC TIC TAC TOOTH PEDIATRIC DENTISTRY (Organization)	2812 HASSERT BLVD STE 104 NAPERVILLE, IL 60564 (312) 480-8720		Non-Participating Provider	NO
1982708053	MARIA NICOLA DEFILIPPIS (Individual)	10 E BENTON NAPERVILLE, IL 60540 (630) 355-0100	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 Delta Dental of Illinois Humana	Non-Participating Provider	YES
1982906590	DUPAGE DENTAL CENTER, LTD (Organization)	1112 S. WASHINGTON ST SUITE 203 NAPERVILLE, IL 60540 (630) 388-5360	Aetna CVS Health	Non-Participating Provider	NO
1992546303	SANA AHMED (Individual)	1048 104TH STREET#108 NAPERVILLE, IL 60564 (630) 904-7100	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental of Illinois Dominion National Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO

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