Zieba Dentistry Gurnee, LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZIEBA DENTISTRY GURNEE, LTD.

Doing business as

Excellence in Dentistry Gurnee

Practice address

5101 Washington St # 2V
Gurnee, IL 60031-5916

Phone

(847) 244-4000

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Zieba, DDS

Title

President

Phone

(773) 456-8835

Specialties & licenses 1

Addresses

Other names 1

• Excellence in Dentistry Gurnee Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1013571132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N WOOD ST APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228800",
            "telephone_number": "847-727-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST # 2V",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315916",
            "telephone_number": "847-244-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIEBA DENTISTRY GURNEE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "ZIEBA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-456-8835",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellence in Dentistry Gurnee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Youth & Family Counseling
• Kimberly Adriana Zamora
• Emily Zanoni, CCC-SLP
• Jill Zaveri, M.D.
• Zee's Healthcare LLC
• Diane B. Zimmerman, PA
• Mark A Zissman, PSYD
• Melissa Jo Zizzo, D.T.
• Zoom Transportation Wi LLC
• Victoria Gennadievna Zubovich

• Dental Clinic/Center in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.