Brookforest Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BROOKFOREST DENTAL GROUP, P.C.

Practice address

850 Brookforest Dr
Suite D
Shorewood, IL 60431-8513

Phone

(815) 741-9697

Fax

(815) 741-9526

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yosif Jabir, D.D.S.

Title

Dentist/Vice-President

Phone

(815) 741-9697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1194903591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOKFOREST DR",
            "address_2": "SUITE D",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604318513",
            "telephone_number": "815-741-9697",
            "fax_number": "815-741-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOKFOREST DR",
            "address_2": "SUITE D",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604318513",
            "telephone_number": "815-741-9697",
            "fax_number": "815-741-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFOREST DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "JABIR",
        "authorized_official_first_name": "YOSIF",
        "authorized_official_title_or_position": "DENTIST/VICE-PRESIDENT",
        "authorized_official_telephone_number": "815-741-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Boardman, PT
• Holly Ann Boersma, ATC
• Nicholas Bowe
• Mehrzad Bozorgnia, M.D.
• Christine Briski
• Gina E Bruck, D.D.S.
• Kevin Bueno, PHARMD
• Maria Bullard
• Kaylee Burian, COTA/L
• Jayme Leigh Cabrera, RN

• General Practice Dentistry in Shorewood, IL
• Providers in Shorewood, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.