Dentist Providers In Plainfield, Illinois

Search Dentist NPI records in Plainfield, IL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Plainfield, IL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 67, of which 29 are registered as organizations and 38 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.

57% Individuals

43% Organizations

21% Female

36% Male

57% Individual Providers (38)43% Medical Organizations (29)21% Female Providers (14)36% Male Providers (24)

Map of Providers

We have mapped the Dentist providers in Plainfield, 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 Plainfield, IL
NPI	Name	Address	Insurance	Medicare	PECOS
1013336445	HERITAGE GROVE FAMILY DENTAL P.C. (Organization)	12426 S VAN DYKE RD UNIT B PLAINFIELD, IL 60585 (815) 254-1375		Non-Participating Provider	NO
1023430360	THE LOOSE TOOTH PEDIATRIC DENTISTRY (Organization)	15041 S VAN DYKE RD SUITE 105 PLAINFIELD, IL 60544 (815) 267-7299		Non-Participating Provider	NO
1023629664	MOCKUNAS DENTAL PC (Organization)	13530 S ROUTE 59 UNIT 120 PLAINFIELD, IL 60544 (815) 436-1530		Non-Participating Provider	NO
1043387707	SHEFALI PATEL (Individual)	12624 S ROUTE 59 PLAINFIELD, IL 60585 (815) 577-0900	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	NO
1053453936	STEVEN J MORAVEC (Individual)	23842 W. MAIN STREET (ROUTE126) PLAINFIELD, IL 60544 (815) 436-2959	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	YES
1053485854	MARCOS Y QUE (Individual)	15909 S ROUTE 59 PLAINFIELD, IL 60586 (815) 254-8950	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
1053948976	SHERRY GEE (Individual)	13400 ILLINOIS RTE 59 104 PLAINFIELD, IL 60585 (248) 635-2119	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
1083479703	ALIGNED ORTHODONTICS (Organization)	15041 S VAN DYKE RD BLDG 103 PLAINFIELD, IL 60544 (815) 267-7299	Aetna CVS Health	Non-Participating Provider	NO
1093120917	SIMONA ZILIUTE (Individual)	13621 S ROUTE 59 UNIT 103 PLAINFIELD, IL 60544 (815) 439-2400		Non-Participating Provider	NO
1093320186	WOOYOUNG CHOI (Individual)	13400 ILLINOIS RTE 59 #104 PLAINFIELD, IL 60585 (815) 867-6697	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
1124379060	MICHAEL JOHN BRAMMEIER (Individual)	13717 S ROUTE 30 #129 PLAINFIELD, IL 60544 (815) 436-3377		Opted out of Medicare	YES
1124549399	IVORY DENTAL (Organization)	12624 S ROUTE 59 PLAINFIELD, IL 60585 (815) 577-0900	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1154051332	TAIRA YUSUFOVA (Individual)	7170 CATON FARM RD STE P PLAINFIELD, IL 60586 (815) 782-2299	Aetna CVS Health BEST Life Delta Dental of Illinois Dominion National Guardian Humana	Non-Participating Provider	NO
1174665616	PINNACLE DENTAL GROUP (Organization)	13530 S ROUTE 59 SUITE J PLAINFIELD, IL 60544 (815) 436-1530	Aetna CVS Health	Non-Participating Provider	NO
1174962450	SAMIA M SULEIMAN-ATA (Individual)	13600 ROUTE 59 SUITE 2 PLAINFIELD, IL 60544 (779) 939-0010	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 First Commonwealth Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1184320566	NEW LIFE WELLNESS INC (Organization)	11830 S ROUTE 59 UNIT 110 PLAINFIELD, IL 60585 (815) 556-8245		Non-Participating Provider	NO
1184796948	DENTAL ASSOCIATES OF PLAINFIELD P.C. (Organization)	14955 S VAN DYKE RD UNIT100 PLAINFIELD, IL 60544 (815) 436-4900	Aetna CVS Health	Non-Participating Provider	NO
1225026651	INAH PARK (Individual)	24047 W LOCKPORT ST STE 207 PLAINFIELD, IL 60544 (815) 267-7878		Non-Participating Provider	NO
1225172323	AHOYT FAMILY DENTAL (Organization)	13717 S US 30 UNIT 129 PLAINFIELD, IL 60544 (815) 436-3377		Non-Participating Provider	NO
1255592382	JUSTIN A AHOYT (Individual)	13717 S US HIGHWAY 30 UNIT 129 PLAINFIELD, IL 60544 (815) 436-3377		Non-Participating Provider	NO
1265279830	SYEDA MEHREEN HASSAN (Individual)	13717 S ROUTE 30 STE 129 PLAINFIELD, IL 60544 (815) 676-0244		Non-Participating Provider	NO
1265503080	RAUNAK PATEL (Individual)	2111 S STATE ROUTE 59 PLAINFIELD, IL 60586 (815) 609-1110	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	YES
1275539108	DAVID SCHUBERT (Individual)	24402 W LOCKPORT ST SUITE 200 PLAINFIELD, IL 60544 (815) 577-0700		Non-Participating Provider	NO
1275675712	YOSIF JABIR (Individual)	13530 S ROUTE 59 SUITE J PLAINFIELD, IL 60544 (815) 436-1530	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	Opted out of Medicare	YES
1275897928	ACE ORAL & MAXILLOFACIAL SURGERY LTD (Organization)	13246 S ROUTE 59 STE 104 PLAINFIELD, IL 60585 (815) 439-9600	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1316124290	ANEW DENTAL AND ORTHODONTICS, L.L.C. (Organization)	13242 S ROUTE 59 PLAINFIELD, IL 60585 (815) 577-9900	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1316131626	PLAINFIELD DENTAL CARE P.C. (Organization)	13400 S ROUTE 59 STE Q PLAINFIELD, IL 60585 (815) 439-2400	Aetna CVS Health	Non-Participating Provider	NO
1366227241	DENTAL PROFESSIONALS OF ILLINOIS, P.C. (Organization)	16302 S BOULEVARD PL UNIT 102 PLAINFIELD, IL 60586 (815) 676-3337	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1366541211	PETE ANDREW GALLOS (Individual)	12426 S. VAN DYKE RD SUITE B HERITAGE GROVE FAMILY DENTAL PLAINFIELD, IL 60585 (815) 254-6700	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	YES
1376976563	SHINING SMILES PLAINFIELD INC (Organization)	13400 S ROUTE 59 SUITE 104 PLAINFIELD, IL 60585 (312) 217-2223	DentaQuest Insurance Company Inc- IL UnitedHealthcare	Non-Participating Provider	NO
1417104985	AMBER J WISHNEVSKI (Individual)	14955 S VAN DYKE RD PLAINFIELD, IL 60544 (815) 436-4900	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 Humana Paramount Paramount Dental	Opted out of Medicare	YES
1437696044	ZHENG MA, DMD, PC CATONFIELD DENTAL (Organization)	7156 CATON FARM RD SUITE I PLAINFIELD, IL 60586 (815) 782-2299	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1447380621	PRAIRIE DENTAL LTD. (Organization)	23959 W RENWICK RD PLAINFIELD, IL 60544 (815) 439-8500		Non-Participating Provider	NO
1447572003	VALLEY DENTAL CARE OF PLAINFIELD (Organization)	2356 S ROUTE 59 PLAINFIELD, IL 60586 (630) 436-6800	Aetna CVS Health DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1457422305	RANDALL JAMES HODOVAL (Individual)	14955 S VAN DYKE RD UNIT100 PLAINFIELD, IL 60544 (815) 436-4900	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 Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1457589715	DRFLASH (Organization)	23657 W ORCHARD LN PLAINFIELD, IL 60586 (630) 878-0351		Non-Participating Provider	NO
1477541811	FUWAD AL-SABEK (Individual)	24228 W. LOCKPORT STREET SUITE :- 102 PLAINFIELD, IL 60544 (815) 577-1883	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 First Commonwealth Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1508100439	FRANCIS PROCK (Individual)	25100 W CATHERINE DR PLAINFIELD, IL 60586 (815) 436-4817		Non-Participating Provider	NO
1518017045	PLAINFIELD DENTAL, LTD. (Organization)	15210 S ROUTE 59 PLAINFIELD, IL 60544 (815) 436-3399		Non-Participating Provider	NO
1528269685	ANEW DENTAL & ORTHODONTICS, L.L.C. (Organization)	13300 S ROUTE 59 BLDG B PLAINFIELD, IL 60585 (815) 577-9900		Non-Participating Provider	NO
1548545700	AGARWAL & PATEL, PC TODAYS DENTAL OF PLAINFIELD (Organization)	2111 S ROUTE 59 PLAINFIELD, IL 60586 (815) 609-1110	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
1568917508	DENTAL SHINE II P.C APEX DENTAL CARE (Organization)	11830 S ROUTE 59 SUITE 110 PLAINFIELD, IL 60585 (815) 609-0000		Non-Participating Provider	NO
1568978013	RINKLE SATISHKUMAR GOYAL (Individual)	13321 BLAKELY DR PLAINFIELD, IL 60585 (857) 800-3209	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
1588078398	KRISTINE VASQUEZ STREITZ (Individual)	13621 S ROUTE 59 UNIT 103 PLAINFIELD, IL 60544 (815) 673-7842	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 Renaissance Dental	Non-Participating Provider	YES
1588986418	PARK DENTAL GROUP, INC PARK FAMILY DENTAL (Organization)	24047 W LOCKPORT ST SUITE 207 PLAINFIELD, IL 60544 (815) 267-7878	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1619625787	ZHENG MA, D.M.D., P.C. (Organization)	7170 CATON FARM RD UNIT P PLAINFIELD, IL 60586 (815) 782-2299		Non-Participating Provider	NO
1629960919	QURATULANN KHAN (Individual)	7170 CATON FARM RD UNIT P PLAINFIELD, IL 60586 (815) 782-2299		Non-Participating Provider	NO
1659534378	PETER MURAGLIA (Individual)	15210 S RTE 59 PLAINFIELD, IL 60544 (815) 436-3399	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	YES
1659821312	ILLINOIS DENTAL PROVIDERS, P. C. DENTALWORKS OF PLAINFIELD (Organization)	12720 S ROUTE 59 SUITE 200 PLAINFIELD, IL 60585 (972) 755-0883	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
1710018205	SPIRIDON A SPYRATOS (Individual)	2111 S ROUTE 59 PLAINFIELD, IL 60586 (815) 609-1110	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
1710029087	OTHMAN MASOUD QAHWASH (Individual)	13530 S ROUTE 59 SUITE #J PLAINFIELD, IL 60544 (815) 436-1530	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 UnitedHealthcare	Non-Participating Provider	NO
1750364584	DILIP PATEL (Individual)	12337 S ROUTE 59 SUITE 125 PLAINFIELD, IL 60585 (815) 609-8588	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1770596280	KEVIN DONALD GALLAGHER (Individual)	15515 SOUTE ROUTE 59 SUITE 300 PLAINFIELD, IL 60544 (815) 436-2406		Non-Participating Provider	NO
1790773117	JAE SUNG ROH (Individual)	24047 W LOCKPORT ST STE 207 PLAINFIELD, IL 60544 (815) 267-7878	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 Delta Dental of Illinois Florida Combined Life Humana Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1801249602	ZHENG MA (Individual)	7170 CATON FARM RD UNIT P PLAINFIELD, IL 60586 (815) 782-2299	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 Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1801908520	RONALD FRANKLIN HOHL (Individual)	1108 N MILL ST PLAINFIELD, IL 60544 (815) 603-2119	Guardian	Non-Participating Provider	NO
1841356920	DOUGLAS CHARLES SHINDOLLAR (Individual)	2318 S ROUTE 59 PLAINFIELD, IL 60586 (815) 254-8550		Non-Participating Provider	YES
1841361409	UDITT MUKHERJEE (Individual)	12720 S ROUTE 59 UNIT 102 PLAINFIELD, IL 60585 (815) 254-5480	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 Humana Paramount Paramount Dental Renaissance Dental Solstice of Illinois Inc.	Non-Participating Provider	YES
1851393995	CATON CROSSING DENTAL CARE LTD (Organization)	2318 S ROUTE 59 PLAINFIELD, IL 60586 (815) 254-8550		Non-Participating Provider	NO
1861607798	PLAINFIELD FAMILY DENTAL CENTER (Organization)	24204 W LOCKPORT ST PLAINFIELD, IL 60544 (815) 436-1000	Aetna CVS Health	Non-Participating Provider	NO
1891076709	A PLUS ENDODONTICS, INC. (Organization)	24228 W. LOCKPORT STREET SUITE:- 102 PLAINFIELD, IL 60544 (815) 577-1883	Aetna CVS Health	Non-Participating Provider	NO
1891866414	VISHRUTI PATEL (Individual)	12337 S ROUTE 59 SUITE 13 PLAINFIELD, IL 60585 (815) 609-8588	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1902586415	ISABELLA TONARELLI (Individual)	7170 CATON FARM RD UNIT I UNIT P PLAINFIELD, IL 60586 (815) 782-2299	Aetna CVS Health BEST Life Delta Dental of Illinois Dominion National Guardian Humana	Non-Participating Provider	NO
1922262518	PAUL ANTHONY LUKAWSKI (Individual)	23909 W RENWICK RD SUITE 111 PLAINFIELD, IL 60544 (815) 439-8500	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1942739024	JUSTINA MOCKUNAS (Individual)	13530 ILLINOIS ROUTE 59 SUITE 120 PLAINFIELD, IL 60544 (815) 436-1530	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
1952503765	MICHAEL E RISTY (Individual)	13544 W. ROUTE 30 UNIT A PLAINFIELD, IL 60585 (815) 577-9000	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
1972674596	SMILE CARE DENTAL ASSOCIATES LLC (Organization)	12337 S ROUTE 59 STE 13 PLAINFIELD, IL 60585 (815) 609-8588	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO

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