Glenn Holden Shulkin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

1061 S Roselle Rd
Schaumburg, IL 60193-3960

Phone

(847) 301-0400

Fax

(847) 301-7576

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DDS Specialty Care LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Schaumburg, IL
  • NPI 1962729913
  Authorized official Same address or phone
• New Age Dental Holdings, LTD

  dba New Age Dental

  • General Practice Dentistry
  • Morton Grove, IL
  • NPI 1144762709
  NPD (past) Authorized official
• Dental Design, LTD.

  • General Practice Dentistry
  • Schaumburg, IL
  • NPI 1376924209
  NPD (past)
• Dental Store North Shore, LTD

  dba Old Orchard Smiles

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1255815031
  NPD (past)
• McCarty Family Dental, LTD

  • General Practice Dentistry
  • Willowbrook, IL
  • NPI 1831692771
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023138732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933960",
            "telephone_number": "847-301-0400",
            "fax_number": "847-301-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933960",
            "telephone_number": "847-301-0400",
            "fax_number": "847-301-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULKIN",
        "first_name": "GLENN",
        "middle_name": "HOLDEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise M Shostek Shields, DC ND
• Kelly Showalter
• Sapana Shrestha, OD
• Sonali C Shrestha, PMHNP-BC
• Anum Shuja, PHARMD
• Zahid Syed Shuttari, MD
• Lisa K Siby
• Laura Lee Siciliano, A.P.R.N.-B.C., ANP
• Farah Siddique, NP-C
• Sanem Siddique

• Dentist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.