Dentist Providers In Oak Lawn, Illinois

Search Dentist NPI records in Oak Lawn, IL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Oak Lawn, IL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 135, of which 31 are registered as organizations and 104 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.

77% Individuals

23% Organizations

19% Female

58% Male

77% Individual Providers (104)23% Medical Organizations (31)19% Female Providers (26)58% Male Providers (78)

Map of Providers

We have mapped the Dentist providers in Oak Lawn, 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 Oak Lawn, IL
NPI	Name	Address	Insurance	Medicare	PECOS
1003062464	CHEITALI BHANSALI (Individual)	8715 RIDGELAND AVE OAK LAWN, IL 60453 (708) 599-8122	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Molina Healthcare	Non-Participating Provider	YES
1003563529	RICHA BHATIA (Individual)	6305 W 95TH ST FL 2 OAK LAWN, IL 60453 (708) 424-1300	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Delta Dental of Illinois Humana Paramount Paramount Dental	Non-Participating Provider	NO
1003955436	MICHAEL SMITH (Individual)	5669 W 95TH ST OAK LAWN, IL 60453 (708) 425-5300	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 Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1003983651	THOMAS JOSEPH KING (Individual)	10735 S CICERO AVE OAK LAWN, IL 60453 (708) 423-4110		Non-Participating Provider	NO
1013301431	OAK LAWN DENTAL CARE, PC (Organization)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 425-9101	Aetna CVS Health	Non-Participating Provider	NO
1013780683	TYLER JAMES SAXSMA (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 419-1601	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 UnitedHealthcare	Non-Participating Provider	NO
1023277134	GUNJAN JAIN (Individual)	6305 W 95TH ST FL 3 OAK LAWN, IL 60453 (708) 425-4301	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 Renaissance Dental	Non-Participating Provider	NO
1033542568	BURBANK UNIVERSAL DENTAL INC (Organization)	9618 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 424-5901	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1043374242	JAMES H JAVORSKI (Individual)	5362 W 95TH STREET OAK LAWN, IL 60453 (708) 424-4590		Non-Participating Provider	NO
1043385768	FAISAL ALI KHAN (Individual)	4435 W 95TH ST OAK LAWN, IL 60453 (708) 423-5992	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	Non-Participating Provider	YES
1053066779	JEFERSON ALMEIDA SANTOS (Individual)	4934 W 95TH ST OAK LAWN, IL 60453 (773) 429-1400		Non-Participating Provider	NO
1063673846	NIKOL H HARALAMPOPOULOS (Individual)	4235 W 95TH ST OAK LAWN, IL 60453 (708) 499-2424		Non-Participating Provider	NO
1063897452	KRISTINA ZIVREV (Individual)	4560 W 103RD ST OAK LAWN, IL 60453 (708) 794-0660	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	Non-Participating Provider	NO
1083784367	MICHAEL A KOZEK (Individual)	4647 W 103RD ST SUITE 2-I OAK LAWN, IL 60453 (708) 423-0500	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	Non-Participating Provider	YES
1134137474	WILSON P HEATON (Individual)	4435 W 95TH ST OAK LAWN, IL 60453 (708) 423-5990	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
1134204324	AARON G. TUCKE (Individual)	4435 WEST 95TH STREET OAK LAWN, IL 60453 (708) 423-5990	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	Accepts Medicare	YES
1154072577	KRISTIN NICOLE KLUTCHARCH (Individual)	5301 W 108TH PL OAK LAWN, IL 60453 (708) 372-4094	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 Delta Dental of Illinois Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1164042198	LYDIA JAEL DEJONGE (Individual)	6305 W 95TH ST STE 200 OAK LAWN, IL 60453 (708) 424-1300	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 Delta Dental of Illinois Humana Renaissance Dental	Non-Participating Provider	YES
1164422606	RICHARD JAMES HRAD (Individual)	4647 W 103RD ST SUITE 1A OAK LAWN, IL 60453 (708) 636-1700	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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1174684633	RUDOLPH ROBERT BURGER-ZELLINGER (Individual)	10522 S CICERO AVE SUITE 403 OAK LAWN, IL 60453 (708) 424-1960		Non-Participating Provider	NO
1184510075	COLEMAN PHAIR (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 419-1601		Non-Participating Provider	NO
1184762353	GEORGE WILLIAM LINGEN (Individual)	4647 W 103RD ST SUITE 1M OAK LAWN, IL 60453 (708) 424-2150	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	Opted out of Medicare	YES
1194822668	GERALD PHILLIP CONNORS (Individual)	10220 S. CICERO AVE OAK LAWN, IL 60453 (708) 499-3222		Non-Participating Provider	NO
1194881474	TOM TRIKOLAS (Individual)	6305 W 95TH ST OAK LAWN, IL 60453 (708) 423-3444	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 UnitedHealthcare	Non-Participating Provider	NO
1205513348	EKATERINI APHRODITE ANDREATOS (Individual)	5821 W 87TH ST OAK LAWN, IL 60453 (708) 529-3966	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 Indiana	Non-Participating Provider	NO
1215123187	SOUTHWEST ORAL SURGEONS,P.C. (Organization)	6305 W 95TH ST 3RD FLOOR OAK LAWN, IL 60453 (708) 425-4300		Non-Participating Provider	NO
1215371505	NORTH SUBURBAN ORTHODONTICS, LTD (Organization)	4710 W 95TH ST UNIT B 10 OAK LAWN, IL 60453 (709) 499-0900		Non-Participating Provider	NO
1225109192	SIMMI KAPUR (Individual)	4934 W 95TH ST OAK LAWN, IL 60453 (708) 425-1811	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
1225542632	ROSHAN JAIN (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (248) 930-0816	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma 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 PPO Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235318205	RICHARD J EBER (Individual)	10423 HALF S CICERO AVE OAK LAWN, IL 60453 (708) 422-6655	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	Non-Participating Provider	NO
1245075381	SAMER ABU AMMRA (Individual)	9431 NORA AVE OAK LAWN, IL 60453 (708) 580-9733	Delta Dental of Minnesota Humana	Non-Participating Provider	NO
1245235316	ALAN ROBERT CHRISTOPHER (Individual)	9644 S PULASKI RD OAK LAWN, IL 60453 (708) 636-1800		Non-Participating Provider	NO
1255116463	HICKORY HILLS DENTAL CENTER (Organization)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717		Non-Participating Provider	NO
1255504510	FAMILY DENTAL CENTER (Organization)	8715 RIDGELAND AVE OAK LAWN, IL 60453 (708) 599-8122	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1255567483	AHMED MATARIA (Individual)	4934 W 95TH ST OAK LAWN, IL 60453 (773) 429-1400	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	Non-Participating Provider	YES
1255904462	WILLIAM JOO (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 419-1601	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	Non-Participating Provider	NO
1265516553	DENNIS PAUL MORRIS (Individual)	6305 W 95TH ST OAK LAWN, IL 60453 (708) 425-4300	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	Opted out of Medicare	YES
1275364366	ANAS AL MUGHRABI (Individual)	9618 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 424-5901		Non-Participating Provider	NO
1275762668	NATHAN S HOFFMAN (Individual)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717	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
1285740381	DAVID ALLEN BINOTTI (Individual)	5208 W 95TH ST OAK LAWN, IL 60453 (708) 422-0464		Non-Participating Provider	NO
1306211271	OAK DENTAL ASSOCIATES, PC (Organization)	10232 CENTRAL AVE OAK LAWN, IL 60453 (708) 422-1900		Non-Participating Provider	NO
1306423314	ROHAN BANSAL (Individual)	8704 RIDGELAND AVE OAK LAWN, IL 60453 (708) 430-4440	Guardian	Non-Participating Provider	NO
1306909593	TERRENCE JOSEPH NEEDHAM (Individual)	10735 S CICERO AVE SUITE 101 OAK LAWN, IL 60453 (708) 422-2424		Non-Participating Provider	YES
1316016090	DAVID P LEVY (Individual)	10735 S CICERO AVE SUITE 101 OAK LAWN, IL 60453 (708) 422-2426		Non-Participating Provider	YES
1316126386	WALTER C WREN (Individual)	10423 HALF S CICERO AVE OAK LAWN, IL 60453 (708) 422-6655	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
1316203458	OAK LAWN DENTAL ASSOCIATES PC (Organization)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 423-0940	Aetna CVS Health	Non-Participating Provider	NO
1316228687	STEPHANIE M COLLETTA (Individual)	10735 S CICERO AVE SUITE 107 OAK LAWN, IL 60453 (708) 423-4110	Guardian	Non-Participating Provider	NO
1316515729	MUJAHED HALABYAH (Individual)	5821 W 87TH ST OAK LAWN, IL 60453 (708) 529-3966	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	NO
1326153636	DENNIS J DWYER DDS PC (Organization)	4621 W 103RD ST OAK LAWN, IL 60453 (708) 229-0606		Non-Participating Provider	NO
1326242884	PERRY E. ROSSINO (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 423-0940	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 UnitedHealthcare	Non-Participating Provider	YES
1326257882	ANTHONY RONALD GAMBLA (Individual)	4301 W 95TH ST OAK LAWN, IL 60453 (708) 423-0014		Non-Participating Provider	NO
1326292509	THOMAS J. REMIJAS (Individual)	9761 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 422-8222		Non-Participating Provider	NO
1326368028	EJAZ TAHIR, DDS, MS, LTD (Organization)	9501 CENTRAL AVE OAK LAWN, IL 60453 (708) 636-9000	UnitedHealthcare	Non-Participating Provider	NO
1346615648	JOHN PETER FIORENZA (Individual)	5425 W 95TH ST OAK LAWN, IL 60453 (708) 636-0565	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 Florida Combined Life Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1366572620	EUGENE CHARLES DECKER (Individual)	4647 W 103RD ST SUITE #1D OAK LAWN, IL 60453 (708) 422-8260	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 Guardian	Non-Participating Provider	NO
1376192203	SHAZAD S AL-KURDI (Individual)	9539A S CICERO AVE OAK LAWN, IL 60453 (773) 551-9490	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 Wisconsin Inc. DentaTrust/DentaSpan Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1407084445	OAK RIDGE FAMILY DENTAL LLC (Organization)	4445 W 95TH ST OAK LAWN, IL 60453 (708) 422-2224		Non-Participating Provider	NO
1407692213	ISAAC LEE (Individual)	4647 W 103RD ST STE 1M OAK LAWN, IL 60453 (708) 424-2150		Non-Participating Provider	NO
1417842808	DANIEL RENE MORALES (Individual)	5821 W 87TH ST OAK LAWN, IL 60453 (708) 529-3966		Non-Participating Provider	NO
1427207539	KATHRYN L. BIELIK (Individual)	4233 W 95TH ST OAK LAWN, IL 60453 (708) 636-2900	Guardian	Opted out of Medicare	YES
1427233170	TOM TRIKOLAS DDS PC (Organization)	6305 W 95TH ST OAK LAWN, IL 60453 (708) 423-3444		Non-Participating Provider	NO
1447384110	THOMAS JOSEPH MEYERING (Individual)	10735 S CICERO AVE OAK LAWN, IL 60453 (708) 423-4110		Non-Participating Provider	NO
1447673777	METRO KIDZ DENTAL, PC (Organization)	4710 W 95TH ST UNIT B10 OAK LAWN, IL 60453 (708) 499-0500	Ambetter from Meridian Ambetter Health	Non-Participating Provider	NO
1447827225	FATHI ABDALLAH (Individual)	8841 RIDGELAND AVE OAK LAWN, IL 60453 (708) 599-8122	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 Delta Dental of Illinois Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1457780298	UNIVERSAL DENTAL SCHOOL PROGRAM INC (Organization)	9618 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 394-5100	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1467647545	LINDA M WEINFIELD (Individual)	9839 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 422-0004	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 Delta Dental of Illinois Dominion National Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1467673210	KENNETH JOSEPH YERKES (Individual)	5001 W. 95TH STREET OAK LAWN, IL 60453 (708) 424-5700	Delta Dental of Illinois	Non-Participating Provider	NO
1487004081	KAREN ANN KOWALESIK (Individual)	9719 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 423-1417		Non-Participating Provider	NO
1487661997	JOHN FREDRICKSEN (Individual)	9606 S CICERO AVE OAK LAWN, IL 60453 (708) 636-2525		Non-Participating Provider	NO
1497885750	GEOFFREY TODD DECKER (Individual)	4647 W 103RD ST SUITE #1D OAK LAWN, IL 60453 (708) 422-6500	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	Non-Participating Provider	YES
1508085184	ANITA VERMA (Individual)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717	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 Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1508918863	DAVID A DURKIN (Individual)	4560 W 103RD ST OAK LAWN, IL 60453 (708) 422-6116		Non-Participating Provider	NO
1508926601	THOMAS JOSEPH DUNN (Individual)	G305 W 95TH STREET OAK LAWN, IL 60415 (708) 422-6464	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	Non-Participating Provider	NO
1518048487	THOMAS PETER FIORENZA (Individual)	9500 S 50TH CT OAK LAWN, IL 60453 (708) 424-0080	Guardian	Non-Participating Provider	NO
1528219250	THOMAS M. MAREING (Individual)	10220 S. CICERO AVE SUITE 101-103 OAK LAWN, IL 60453 (708) 499-2266		Non-Participating Provider	NO
1548004641	SADAF KAMKAR (Individual)	5821 W 87TH ST OAK LAWN, IL 60453 (708) 529-3966		Non-Participating Provider	NO
1558984427	DECKER FAMILY DENTAL, PC (Organization)	4647 W 103RD ST STE 1D OAK LAWN, IL 60453 (708) 422-6500	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1568635043	DR. JAMES HOGG & ASSOCIATES LLC (Organization)	10232 CENTRAL AVE OAK LAWN, IL 60453 (708) 422-1900		Non-Participating Provider	NO
1568843340	MICHAEL LEE (Individual)	6305 W 95TH ST FL 3 OAK LAWN, IL 60453 (708) 425-4301	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 Delta Dental of Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1578144556	ATHANASIOS NICOLOZAKES (Individual)	4560 W 103RD ST OAK LAWN, IL 60453 (708) 423-5155	Guardian	Non-Participating Provider	YES
1578693008	TIMOTHY C. THOMETZ (Individual)	5669 W 95TH ST OAK LAWN, IL 60453 (708) 425-5300	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	Non-Participating Provider	NO
1588784698	DENNIS JOHN DWYER (Individual)	4621 W 103RD ST OAK LAWN, IL 60453 (708) 229-0606		Non-Participating Provider	NO
1588970883	BETH ANN DAMAS (Individual)	4445 W 95TH ST OAK LAWN, IL 60453 (708) 422-2224	Aetna CVS Health Guardian Humana	Non-Participating Provider	NO
1609242239	ANGELICA SANCHEZ (Individual)	10735 S. CICERO AVE SUITE 107 OAK LAWN, IL 60453 (708) 423-4110	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 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
1619420635	SAMAR ODEH (Individual)	7117 W 93RD ST APT 201 OAK LAWN, IL 60453 (217) 553-6460	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 Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1639248701	THOMAS ANTHONY SWINGLER (Individual)	4600 W 103RD ST OAK LAWN, IL 60453 (708) 423-8383		Non-Participating Provider	NO
1639747801	JOHN GREEN (Individual)	10735 S CICERO AVE STE 101 OAK LAWN, IL 60453 (708) 422-2426		Non-Participating Provider	NO
1659538445	ANDREW JAMES SAMPALIS (Individual)	4560 W 103RD ST OAK LAWN, IL 60453 (708) 423-5155		Non-Participating Provider	NO
1669480851	MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD (Organization)	4435 W. 95TH STREET OAK LAWN, IL 60453 (708) 423-5990		Non-Participating Provider	NO
1669624284	PETTY, BIELIK & BURKE ORTHODONTICS, P.C. (Organization)	4233 W 95TH ST OAK LAWN, IL 60453 (708) 636-2900		Non-Participating Provider	NO
1669858098	KWANG KYUN CHANG (Individual)	9644 S PULASKI RD OAK LAWN, IL 60453 (708) 499-0900	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1689777229	JOHN P FIORENZA DDS PC (Organization)	5425 WEST 95TH STREET OAK LAWN, IL 60453 (708) 636-0565	UnitedHealthcare	Non-Participating Provider	NO
1689827099	PROGRESSIVE IMAGING PARTNERS, LLC (Organization)	4233 W 95TH ST OAK LAWN, IL 60453 (708) 636-2900		Non-Participating Provider	NO
1700595212	AMIT KALRA (Individual)	9839 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 422-0004	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 Delta Dental of Illinois Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1700901196	JACK W RUBY (Individual)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717	Anthem Blue Cross and Blue Shield	Opted out of Medicare	YES
1710015128	FADI S. MASOUD (Individual)	5821 W 87TH ST OAK LAWN, IL 60453 (708) 529-3966	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	Non-Participating Provider	NO
1720113855	WILLIAM HENRY GROTZ (Individual)	4815 W 103RD STREET OAK LAWN, IL 60453 (708) 425-5001	Guardian	Non-Participating Provider	YES
1720131758	JOHN CHARLES ROGERS (Individual)	10522 S CICERO AVE SUITE 404 OAK LAWN, IL 60453 (708) 422-7733		Non-Participating Provider	YES
1720179021	GHASSAN ABDALLAH (Individual)	8841 RIDGELAND AVE OAK LAWN, IL 60453 (708) 599-8122	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 UnitedHealthcare	Non-Participating Provider	NO
1740177500	ALEXIS HOLWICK (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (479) 461-3297		Non-Participating Provider	NO
1740522200	ECO FRIENDLY DENTISTRY PC (Organization)	4934 W 95TH ST OAK LAWN, IL 60453 (773) 429-1400	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1740806066	HUSSIEN AHMAD (Individual)	8841 RIDGELAND AVE OAK LAWN, IL 60453 (708) 599-8122	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1750654281	DR.JACK RUBY CHARTERED OAK LAWN DENTAL CENTER (Organization)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717		Non-Participating Provider	NO
1750919429	CALLI WILLETT (Individual)	6305 W 95TH ST FL 2 OAK LAWN, IL 60453 (708) 424-1300	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 Delta Dental of Illinois Humana Renaissance Dental	Non-Participating Provider	NO
1760213946	JINHUA XIE (Individual)	9618 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 424-5901		Non-Participating Provider	NO
1760377279	IDENTICAL SMILES LLC (Organization)	4647 W 103RD ST STE 1M OAK LAWN, IL 60453 (708) 424-2150		Non-Participating Provider	NO
1770700536	CRAIG KOSTRUBALA (Individual)	9501 CENTRAL AVE OAK LAWN, IL 60453 (708) 346-9600	Aetna CVS Health Ambetter from Meridian Ambetter 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 DentaQuest Insurance Company Inc- IL Guardian	Non-Participating Provider	NO
1770942823	HOMAM WALEED SAADI (Individual)	4425 W 95TH ST OAK LAWN, IL 60453 (331) 233-1001	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 DentaQuest Insurance Company Inc- IL Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1780803866	DEBORAH ZEKICH (Individual)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717	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
1780804542	BRIAN D. RUBY (Individual)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717	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
1801268305	PEDIATRIC DENTAL SPECIALISTS (Organization)	6305 W 95TH ST OAK LAWN, IL 60453 (708) 424-1300	Aetna CVS Health	Non-Participating Provider	NO
1821012733	FORREST TOWER (Individual)	10638 S CICERO AVE OAK LAWN, IL 60453 (708) 423-0610		Non-Participating Provider	NO
1831682368	EUNICE YE EUN CHOI (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 498-3388	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 Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1841208147	EDWARD L KASPER (Individual)	4435 W 95TH ST OAK LAWN, IL 60453 (708) 423-5990		Non-Participating Provider	NO
1841469806	SHUAIB MALIK (Individual)	6305 W 95TH ST FL 3 OAK LAWN, IL 60453 (708) 485-4301	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 First Commonwealth Insurance Company Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1861400129	CARLO G PAGNI (Individual)	4435 W 95TH ST OAK LAWN, IL 60453 (708) 423-5990	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	Non-Participating Provider	YES
1861558744	WILLIAM D. PETTY (Individual)	4233 W 95TH ST 2ND FLOOR OAK LAWN, IL 60462 (708) 636-2900	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	Opted out of Medicare	YES
1861847063	ANDREW J. SAMPALIS DDS AND ASSOCIATES.,LTD. (Organization)	4560 W 103RD ST OAK LAWN, IL 60453 (240) 669-2313		Non-Participating Provider	NO
1871045302	C.J.NEAL DDS, LTD (Organization)	4647 W 103RD ST #1M OAK LAWN, IL 60453 (708) 424-2150	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1881011211	L.M. WEINFIELD DDS, LTD. THE DENTAL BUILDING (Organization)	9839 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 422-0004	Aetna CVS Health	Non-Participating Provider	NO
1891011755	JORDAN NATHANIEL WILLIAMS (Individual)	6735 W 95TH ST OAK LAWN, IL 60453 (708) 598-0717		Opted out of Medicare	YES
1891986790	AHMED RAMAHA (Individual)	9618 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 394-5100	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 Guardian	Non-Participating Provider	NO
1902048465	GARY A TAPAK (Individual)	4647 W 103RD ST SUITE 2M OAK LAWN, IL 60453 (708) 424-6737	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
1902184740	THOMAS J MEYERING DDS, P.C. (Organization)	10735 S CICERO AVE OAK LAWN, IL 60453 (708) 423-4110		Non-Participating Provider	NO
1902280498	SCOTT ERIC PRICE (Individual)	10522 S. CICERO AVE OAK LAWN, IL 60453 (708) 424-7106	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
1902438682	LUMY DENTAL INC. DENTALOGIC (Organization)	4425 W 95TH ST OAK LAWN, IL 60453 (331) 233-1001		Non-Participating Provider	NO
1912194275	RAYMOND DENIS BARTZ (Individual)	8704 S RIDGELAND AVE OAK LAWN, IL 60453 (708) 430-4440		Non-Participating Provider	NO
1912896176	JOSEPH HERRLI (Individual)	9101 S CICERO AVE OAK LAWN, IL 60453 (708) 419-1601		Non-Participating Provider	NO
1922299544	MEGHAN GRACE CRISHAM (Individual)	10735 S CICERO AVE OAK LAWN, IL 60453 (312) 285-8747		Non-Participating Provider	NO
1932353083	GENERAL DENTISTRY ASSOCIATES, INC. (Organization)	9761 SOUTHWEST HWY OAK LAWN, IL 60453 (708) 422-8222		Non-Participating Provider	NO
1952425605	JOHN MICHAEL GREEN (Individual)	4608 W 103RD ST OAK LAWN, IL 60453 (708) 424-9515	Guardian	Non-Participating Provider	NO
1972572915	SHARON ANTOINETTE MALINOWSKI (Individual)	11000 S PULASKI RD OAK LAWN, IL 60453 (708) 422-5200	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
1972796654	OAK LAWN DENTAL GROUP, P.C. (Organization)	10220 S CICERO AVE SUITE 101 OAK LAWN, IL 60453 (708) 636-0786		Non-Participating Provider	NO
1982738829	JANICE A LUBAS (Individual)	6305 W 95TH ST OAK LAWN, IL 60453 (708) 424-1300	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 Delta Dental of Illinois Renaissance Dental	Non-Participating Provider	NO
1992916902	HARRY ARTHUR HARALAMPOPOULOS (Individual)	4235 W 95TH ST OAK LAWN, IL 60453 (708) 499-2424	Guardian	Non-Participating Provider	NO

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