Robert Frank Chorak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

123 N Bench St
Galena, IL 61036-2236

Phone

(815) 777-0449

Fax

(815) 777-0464

NPI assigned

Feb 17, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 20, 2016 through Sep 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518001049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N BENCH ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610362236",
            "telephone_number": "815-777-0449",
            "fax_number": "815-777-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N BENCH ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610362236",
            "telephone_number": "815-777-0449",
            "fax_number": "815-777-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORAK",
        "first_name": "ROBERT",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Lynn Brehm, PHARMD
• Tara Lynn Brown, PHARM D
• William Bruce-Boehler, LCSW
• Victoria Brueggert
• Melissa Jane Webb Burke, R.D.,L.D.
• Debbie Ann Cihak, M.D.
• Agnieszka Cluchey, D.C.
• Stephanie Cocagne, LCPC
• Peter M. Colegrove, MD
• Consedine Pharmacy Inc

• General Practice Dentistry in Galena, IL
• Providers in Galena, 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 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.