Dentist Providers In Wheaton, Illinois

Search Dentist NPI records in Wheaton, IL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Wheaton, IL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 106, of which 21 are registered as organizations and 85 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.

80% Individuals

20% Organizations

25% Female

56% Male

80% Individual Providers (85)20% Medical Organizations (21)25% Female Providers (26)56% Male Providers (59)

Map of Providers

We have mapped the Dentist providers in Wheaton, 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 Wheaton, IL
NPI	Name	Address	Insurance	Medicare	PECOS
1003018995	PATRICIA NIHILL (Individual)	949 W LIBERTY DR WHEATON, IL 60187 (630) 715-2821		Opted out of Medicare	YES
1003388422	DENTAL SURGEONS LTD (Organization)	610 W ROOSEVELT RD STE C1 WHEATON, IL 60187 (630) 765-7557		Non-Participating Provider	NO
1003508839	CLAIRE WEESNER (Individual)	722 S PRESIDENT ST WHEATON, IL 60189 (630) 469-7696	Companion Life Insurance Company Delta Dental of Illinois Humana	Non-Participating Provider	NO
1013090968	ANN KORKATSCH ORLAND (Individual)	111 WEST WESLEY ST STUIE 6 WHEATON, IL 60187 (630) 653-6593	Guardian	Non-Participating Provider	NO
1033833017	LANA N DALBAH (Individual)	55 E LOOP RD STE 201 WHEATON, IL 60189 (630) 315-7461		Non-Participating Provider	NO
1063638849	SUMEET BERI (Individual)	1275 BUTTERFIELD RD STE 202 WHEATON, IL 60187 (630) 653-5152	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	Non-Participating Provider	NO
1063677144	WARREN F. WAKERLIN (Individual)	610 W ROOSEVELT RD WHEATON, IL 60187 (630) 682-3050		Non-Participating Provider	NO
1073674180	MEERA NARASIMHAN (Individual)	26W136 WATERBURY CT SUITE 109 WHEATON, IL 60187 (646) 373-7477	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 UnitedHealthcare	Non-Participating Provider	NO
1073687927	JOHN A. SANIAT (Individual)	200 E WILLOW AVE #301 WHEATON, IL 60187 (630) 690-3686	Guardian	Opted out of Medicare	YES
1083888762	DAVID TOAN NGUYEN (Individual)	620 W ROOSEVELT RD STE A1 WHEATON, IL 60187 (630) 462-9047	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
1093857799	SUSAN J SUP (Individual)	200 EAST WILLOW SUITE 203 WHEATON, IL 60187 (630) 665-7400	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 Wisconsin Inc. Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1104047638	ERIC ROY WOSTL (Individual)	209 N WASHINGTON ST WHEATON, IL 60187 (630) 668-1455	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
1104493683	MINA YOUSSEF (Individual)	55 E LOOP RD STE 201 WHEATON, IL 60189 (732) 853-5183	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1104961341	SUZANNE B ERSKINE (Individual)	416 E ROOSEVELT ROAD SUITE 100 WHEATON, IL 60187 (630) 665-9850		Non-Participating Provider	NO
1114133733	DAVID MONTGOMERY ABBOTT (Individual)	108 WAKEMAN AVE WHEATON, IL 60187 (630) 668-5251		Non-Participating Provider	NO
1114427358	RAZI ORTHODONTICS LTD (Organization)	2212 N MAIN ST WHEATON, IL 60187 (630) 614-1162		Non-Participating Provider	NO
1124173687	ROGER ZENAS BLISS (Individual)	26W285 GENEVA RD WHEATON, IL 60187 (630) 260-0333	Guardian	Non-Participating Provider	NO
1134133226	DAVID L. CARLSON (Individual)	610 E ROOSEVELT RD STE 101 WHEATON, IL 60187 (630) 653-9002	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
1134144371	GREGORY CHARLES CALLEIA (Individual)	610 W ROOSEVELT RD SUITE A1 WHEATON, IL 60187 (630) 682-0844	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 Wisconsin Inc. Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1134261118	JILL MARIE CASTLINE (Individual)	200 E WILLOW AVE SUITE 104 WHEATON, IL 60187 (630) 653-0828		Non-Participating Provider	NO
1144487349	ERIC WOSTL DDS (Organization)	209 N WASHINGTON ST WHEATON, IL 60187 (630) 668-1455		Non-Participating Provider	NO
1154452852	BAUER DENTAL AND ORTHODONTICS LTD (Organization)	1547 ORCHARD RD WHEATON, IL 60189 (312) 371-6831		Non-Participating Provider	NO
1174196810	RACHAEL M COLE (Individual)	1861 CREEKSIDE DR WHEATON, IL 60189 (630) 653-3440	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 Humana	Non-Participating Provider	NO
1184885626	VICKYANN CHROBAK (Individual)	531 E ROOSEVELT RD STE 100 WHEATON, IL 60187 (630) 690-3519		Non-Participating Provider	NO
1194497081	CHICAGO DENTAL SOCIETY FOUNDATION (Organization)	416 E ROOSEVELT RD STE 102 WHEATON, IL 60187 (630) 260-8530		Non-Participating Provider	NO
1194724963	DAVID J ALLEN (Individual)	116 W WILLOW AVE WHEATON, IL 60187 (630) 668-0197	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
1194730549	MARTIN ARTHUR DETTMER (Individual)	531 E ROOSEVELT RD SUITE 100 WHEATON, IL 60187 (630) 665-5550		Non-Participating Provider	NO
1215094883	PROCARE DENTAL GROUP, P.C. CENTRAL DUPAGE DENTAL GROUP (Organization)	7 BLANCHARD CIR STE LLG WHEATON, IL 60187 (630) 681-0108	Aetna CVS Health Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1215979950	TASNEEM LAKHA-VANGARA (Individual)	7 BLANCHARD CIR SUITE LLG WHEATON, IL 60187 (630) 681-0108	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
1225077340	MANINDER KAUR SOKHEY (Individual)	7 BLANCHARD CIR SUITE LLG WHEATON, IL 60187 (630) 681-0108	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 Florida Combined Life Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1235307919	SARAH J GRAMSE (Individual)	108 E WAKEMAN AVE WHEATON, IL 60187 (630) 668-5251		Non-Participating Provider	NO
1235575739	GREGORY A CYGAN (Individual)	610 W ROOSEVELT RD STE C1 WHEATON, IL 60187 (630) 765-7557	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 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 Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	YES
1255886552	MARK J. BECK (Individual)	223 W ILLINOIS ST WHEATON, IL 60187 (630) 668-4500		Non-Participating Provider	NO
1265560825	JOHN M. NIHILL (Individual)	949 W LIBERTY DR WHEATON, IL 60187 (630) 668-6071		Non-Participating Provider	NO
1275685224	GREGORY JOSEPH OLENICK (Individual)	1275 BUTTERFIELD RD SUITE 204 WHEATON, IL 60187 (630) 653-1377	Guardian	Non-Participating Provider	YES
1295481133	GLENN J EVANS FAMILY DENTAL (Organization)	1749 S NAPERVILLE RD STE 102 WHEATON, IL 60189 (630) 260-1280		Non-Participating Provider	NO
1295983799	GREGORY MINOR, D.D.S., P.C. (Organization)	1825 E. ROOSEVELT RD WHEATON, IL 60187 (630) 665-0707		Non-Participating Provider	NO
1346587797	EDWARD ROGER CHAVEZ (Individual)	200 E WILLOW AVE SUITE 304 WHEATON, IL 60187 (630) 510-0731	Humana	Non-Participating Provider	NO
1356502132	MATTHEW CHARLES BRINK (Individual)	10 DANADA SQ W WHEATON, IL 60187 (630) 665-7474	Guardian	Non-Participating Provider	NO
1366563694	LAWRENCE MATEJCAK (Individual)	1502 E ROOSEVELT RD WHEATON, IL 60187 (630) 690-8855		Non-Participating Provider	NO
1386707412	ROBERT CURT MALENIUS (Individual)	1761 S NAPERVILLE RD SUITE 105 WHEATON, IL 60189 (630) 668-6180		Non-Participating Provider	NO
1427072792	MARK A BARNES (Individual)	531 E ROOSEVELT RD SUITE 103 WHEATON, IL 60187 (630) 221-8161	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	YES
1437278470	CHARLES RUSSELL SHOWALTER (Individual)	300 S WEST ST WHEATON, IL 60187 (630) 665-0650		Non-Participating Provider	NO
1447839659	SELAM K TOTONCHI (Individual)	26W285 GENEVA RD WHEATON, IL 60187 (630) 260-0333	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	NO
1457421166	CENTRAL DUPAGE ORTHODONTICS, LTD. (Organization)	300 S. WEST STREET STE 2 WHEATON, IL 60187 (630) 665-3317	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1457482036	SUZANNE SCHNEEGAS-MAHONEY (Individual)	111 N. COUNTY FARM RD. WHEATON, IL 60187 (630) 682-7979		Non-Participating Provider	NO
1457558058	WHEATON DENTAL CENTER, LTD (Organization)	101 E COLE AVE WHEATON, IL 60187 (630) 668-0100		Non-Participating Provider	NO
1467029397	ALEC JOY (Individual)	610 E ROOSEVELT RD STE 101 WHEATON, IL 60187 (630) 653-9002	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1467583161	BRYAN BAUER (Individual)	531 E ROOSEVELT RD SUITE 100 WHEATON, IL 60187 (630) 665-5550		Non-Participating Provider	YES
1487928941	KAJAL JOSHI (Individual)	722 S PRESIDENT ST WHEATON, IL 60189 (630) 469-7696	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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1497098131	KALEEM RAZI (Individual)	2212 N MAIN ST WHEATON, IL 60187 (630) 614-1162	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
1518020825	MARK S. DAVIS (Individual)	1761 S NAPERVILLE RD 105 WHEATON, IL 60189 (630) 668-6180		Non-Participating Provider	YES
1538142492	GLENN JEFFREY EVANS (Individual)	703 PARKWAY DR WHEATON, IL 60187 (630) 362-8674	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1558443044	DENNIS JAMES BECK (Individual)	223 W ILLINOIS ST WHEATON, IL 60187 (630) 668-4500		Non-Participating Provider	NO
1568538106	MARY A HATZIS (Individual)	111 W WESLEY ST WHEATON, IL 60187 (630) 682-4743	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
1578692935	ABRAHAM PHILIP (Individual)	100 W ROOSEVELT RD STE B5-204 WHEATON, IL 60187 (630) 340-0781		Non-Participating Provider	YES
1578758991	RAYMOND JELENIAUSKAS (Individual)	300 S WEST ST WHEATON, IL 60187 (630) 665-0650	Aetna CVS Health Delta Dental of Illinois	Non-Participating Provider	NO
1598802456	ROBERT HREN (Individual)	100 W ROOSEVELT RD A4 WHEATON, IL 60187 (630) 665-8330		Non-Participating Provider	NO
1609911049	ROBERT W HAWKINSON (Individual)	416 E ROOSEVELT ROAD SUITE 100 WHEATON, IL 60187 (630) 665-9850	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	NO
1629028949	ROBERT J. WEBER (Individual)	210 W WILLOW AVE WHEATON, IL 60187 (630) 665-5552	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
1629192265	BARTON LANE BRUNTJEN (Individual)	400 S COUNTY FARM RD SUITE 210 WHEATON, IL 60187 (630) 653-8850		Non-Participating Provider	NO
1659394773	ROBERT E HOLDRIDGE (Individual)	620 W ROOSEVELT RD SUITE B1 WHEATON, IL 60187 (630) 668-3423		Non-Participating Provider	NO
1659442788	WHEATON FAMILY DENTISTRY, PC (Organization)	67 DANADA SQ E WHEATON, IL 60187 (630) 681-1280		Non-Participating Provider	NO
1659529154	GREGORY B. MINOR (Individual)	1825 E. ROOSEVELT RD. WHEATON, IL 60187 (630) 665-0707		Non-Participating Provider	NO
1669500237	GREGORY SCOTT MCBETH (Individual)	949 W LIBERTY DR WHEATON, IL 60187 (630) 668-6071	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
1669529145	THE TOOTH REPAIR SHOPPE, LTD. (Organization)	610 W ROOSEVELT RD SUITE A1 WHEATON, IL 60187 (630) 682-0844		Non-Participating Provider	NO
1669541363	DONALD ALLEN DALE (Individual)	311 S NAPERVILLE RD WHEATON, IL 60187 (630) 653-7720	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
1699798496	MICHAEL WILLIAM KOEHNE (Individual)	319 E ROOSEVELT RD WHEATON, IL 60187 (630) 665-5555		Non-Participating Provider	YES
1699940650	JAMES N KOURACOS (Individual)	331 S ARBORETUM CIR WHEATON, IL 60187 (630) 668-6655		Non-Participating Provider	NO
1700955440	KEVIN MICHAEL BOEHM (Individual)	67 DANADA SQ E WHEATON, IL 60187 (630) 681-1280		Non-Participating Provider	NO
1700999190	MARTIN KURT ZIEGNER (Individual)	100 W ROOSEVELT RD 202 WHEATON, IL 60187 (630) 682-3211		Non-Participating Provider	NO
1710017397	JOSEPH R WELLS (Individual)	416 E ROOSEVELT ROAD SUITE 100 WHEATON, IL 60187 (630) 665-9850		Non-Participating Provider	NO
1720015936	JAMES K WEISS (Individual)	7 BLANCHARD CIR SUITE LLG WHEATON, IL 60187 (630) 681-0108	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	YES
1730201047	DAVID LICHTENWALTER (Individual)	604 S BLANCHARD ST WHEATON, IL 60187 (630) 668-8331		Non-Participating Provider	YES
1730339003	R S HAUSTEN (Individual)	0N712 GARY AVE WHEATON, IL 60187 (630) 653-3440		Non-Participating Provider	NO
1730397589	DEAN A. FRANCIS, D.D.S., P.C. PARK EAST DENTAL (Organization)	1749 S NAPERVILLE RD SUITE # 102 WHEATON, IL 60187 (630) 260-1280		Non-Participating Provider	NO
1750190880	KRIPA-MARIAM POOZHIKUNNEL (Individual)	1761 S NAPERVILLE RD STE 105 WHEATON, IL 60189 (630) 668-6180		Non-Participating Provider	NO
1750597118	MARK A. BARNES, D.D.S., LTD. (Organization)	531 E ROOSEVELT RD SUITE 103 WHEATON, IL 60187 (630) 221-8161		Non-Participating Provider	NO
1760550347	ELISA K CRANDELL (Individual)	55 E LOOP RD #201 WHEATON, IL 60187 (630) 653-8899		Non-Participating Provider	NO
1770652794	DIANA T. BRAWKA (Individual)	610 E ROOSEVELT RD STE 101 WHEATON, IL 60187 (630) 653-9002	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 Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1770796005	BELNIAK & BRINK DDS,LTD (Organization)	10 DANADA SQ W WHEATON, IL 60187 (630) 665-7474		Non-Participating Provider	NO
1780729046	PETER C WASILKOFF (Individual)	416 E ROOSEVELT ROAD SUITE 100 WHEATON, IL 60187 (630) 665-9850	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
1790853323	MARK ANDREW KOSTKO (Individual)	55 EAST LOOP RD STE 201 WHEATON, IL 60187 (630) 653-8899	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 Humana	Opted out of Medicare	YES
1821175928	TERRY L ANDERSON (Individual)	111 W WESLEY ST SUITE 3 WHEATON, IL 60187 (630) 668-1420		Non-Participating Provider	NO
1821491937	WEST SUBURBAN ENDODONTICS LLC DBA PREMIER ENDODONTIC ASSOCIATES (Organization)	1749 S NAPERVILLE ROAD SUITE 100 WHEATON, IL 60189 (630) 653-3636		Non-Participating Provider	NO
1821729799	IRINY GADOON TADROS (Individual)	2205 S BRADFORD DR WHEATON, IL 60189 (630) 923-1708	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 Humana Renaissance Dental	Non-Participating Provider	NO
1831453307	GLENN J EVANS DDS PC (Organization)	703 PARKWAY DR WHEATON, IL 60187 (630) 362-8674	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1861653172	FREDERICK M STRONER (Individual)	200 E WILLOW AVE STE 201 WHEATON, IL 60187 (630) 668-5285	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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1902286347	JOLYNN KUEBLER (Individual)	1147 BUTTERFIELD RD WHEATON, IL 60189 (630) 621-9657	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	Non-Participating Provider	NO
1902665508	NIHAR PILLAI (Individual)	416 E ROOSEVELT RD STE 100 WHEATON, IL 60187 (630) 665-9850	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1912062969	EDWARD R CHAVEZ DDS PC (Organization)	200 E WILLOW AVE SUITE 304 WHEATON, IL 60187 (630) 510-0731		Non-Participating Provider	NO
1932277522	MATTHEW GERARD CROWE (Individual)	55 EAST LOOP ROAD #201 WHEATON, IL 60187 (630) 653-8899	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 Humana	Opted out of Medicare	YES
1932360716	RICHARD DWIGHT BELNIAK (Individual)	10 DANADA SQ W WHEATON, IL 60187 (630) 665-7474		Non-Participating Provider	NO
1942215637	EVELYN R WILEY (Individual)	2SOUTH020 TWIN OAKS DR. WHEATON, IL 60187 (630) 665-9140	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 Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1942370275	DAVID T. NGUYEN DDS,PC (Organization)	620 W ROOSEVELT RD STE A1 WHEATON, IL 60187 (630) 462-9047	DentaQuest Insurance Company Inc- IL	Non-Participating Provider	NO
1952428153	DENTAL HEALTH OF WHEATON (Organization)	949 W LIBERTY DR WHEATON, IL 60187 (630) 668-6071		Non-Participating Provider	NO
1952656746	MICHAEL BRYAN CHENG (Individual)	1275 BUTTERFIELD RD SUITE 202 WHEATON, IL 60189 (630) 653-5152	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
1962021709	GABRIEL ALEXANDER MURPHY (Individual)	55 E LOOP RD STE 201 WHEATON, IL 60189 (630) 653-8899	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 Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1962588400	LAURENCE A GOLDEN (Individual)	300 SOUTH WEST STREET WHEATON, IL 60187 (630) 665-3317	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 UnitedHealthcare	Non-Participating Provider	NO
1962767004	ERICA KIGHT (Individual)	1425 N MAIN ST WHEATON, IL 60187 (630) 923-8800	Guardian Humana	Opted out of Medicare	YES
1982370334	DE LA FUENTE, DMD P.C. (Organization)	1985 N GARY AVE WHEATON, IL 60187 (630) 724-7765		Non-Participating Provider	NO
1982809992	NICOLE MARIE BECK ROGERS (Individual)	223 W ILLINOIS ST WHEATON, IL 60187 (630) 668-4500		Non-Participating Provider	NO
1992023592	ROBERT JOHN MROZ (Individual)	614 W FRANKLIN ST WHEATON, IL 60187 (630) 221-8626		Non-Participating Provider	NO
1992816433	DIANE MARGARET METRICK (Individual)	319 E ROOSEVELT RD WHEATON, IL 60187 (630) 665-5555		Non-Participating Provider	NO
1992895387	VINCENT LOUIS CONFORTI (Individual)	210 W WILLOW AVE WHEATON, IL 60187 (630) 668-1808		Non-Participating Provider	NO
1992918478	MARK LAWRENCE VITALE (Individual)	101 E COLE AVE WHEATON, IL 60187 (630) 668-0100		Non-Participating Provider	NO

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