Lynn C Podlasek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.026502 Issued in IL

Practice address

100 N Atkinson Rd
Suite 104
Grayslake, IL 60030-7801

Phone

(847) 223-0110

NPI assigned

Jul 26, 2012

Last updated

Jul 26, 2012By the provider in NPPES

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

Other names 1

• Mrs. Lynn Podlasek-Domerchie Other name

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.

• Follmer and Podlasek Dentistry

  dba Northwest Dental Health and Aesthetics

  • General Practice Dentistry
  • Wauconda, IL
  • NPI 1437678505
  NPD (past) Authorized official
• Elizabeth M Schaik PC

  • Dentist
  • Grayslake, IL
  • NPI 1912111378
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1528314671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BROWN ST STE B",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841747",
            "telephone_number": "847-526-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ATKINSON RD",
            "address_2": "SUITE 104",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307801",
            "telephone_number": "847-223-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODLASEK",
        "first_name": "LYNN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.026502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "PODLASEK-DOMERCHIE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael J. Pinkowski, PH.D.
• Barbara Anna Pintz, DDS
• Cassandra Pitts, PT, DPT
• Christabeth Pixley
• Julia Plescia, FNP
• Biana M Polak, DO
• Arthur Popov
• Sheila Posedel, PT
• Powers Wellness & Consulting Group, LLC (Victoria Priola)
• Premier Chiropractic Center, LTD

• General Practice Dentistry in Grayslake, IL
• Providers in Grayslake, 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 26, 2012; 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.