Patricia Lynn Eaton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018969 Issued in IL

Practice address

5649 Manchester Drive
Gurnee, IL 60031

Phone

(847) 680-0123

Fax

(847) 680-0228

NPI assigned

Jan 16, 2007

Sex

Female

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

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• The Family Dentists LTD

  • Dentist
  • Gurnee, IL
  • NPI 1962527127
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1528119336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 MANCHESTER DRIVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-680-0123",
            "fax_number": "847-680-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 MANCHESTER DRIVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-680-0123",
            "fax_number": "847-680-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Dydo, LSW
• Dynamic Hand Therapy & Rehabilitation Limited Partnership
• Dynamic Hand Therapy & Rehabilitation Limited Partnership
• E&O Therapeutic Services PLLC
• Kara N Easton, APN
• Denise R. Eaves, LCSW, CEAP
• Ecumenical Support Services for the Elderly Esse Center (ESSE Adult Day Services)
• Nanci Janine Edgcomb, LCPC
• Debbie L. Ellis, LSW
• Embrace Therapy Services LLC

• General Practice Dentistry in Gurnee, IL
• Providers in Gurnee, 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 May 12, 2016; 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.