Active NPI
Cristina Thelemaque DDS PC
Doing business as North Oak Dental Care
- Dental Clinic/Center
- Oak Park, IL
National Provider Identifier
1558528869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 019022683
- Legal business name
- CRISTINA THELEMAQUE DDS PC
- Doing business as
- North Oak Dental Care
- Practice address
- 6711 North Ave
Oak Park, IL 60302-1006 - Phone
- (708) 383-9363
- Fax
- (708) 383-4154
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Garnet Venable
- Title
- Office Manager
- Phone
- (708) 383-9363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 019022683 | IL | Primary |
Addresses
Primary practice location
6711 North Ave
Oak Park, IL 60302-1006
Mailing address
6711 North Ave
Oak Park, IL 60302-1006
Phone (708) 383-9363
Other names 1
- North Oak Dental Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Oak Park, IL
- NPI 1558385153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1558528869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 NORTH AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021006",
"telephone_number": "708-383-9363",
"fax_number": "708-383-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 NORTH AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021006",
"telephone_number": "708-383-9363",
"fax_number": "708-383-4154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRISTINA THELEMAQUE DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "VENABLE",
"authorized_official_first_name": "GARNET",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "708-383-9363",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": "019022683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Oak Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.