Thomas Prozorovsky, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

14810 Cicero Ave
Oak Forest, IL 60452-1400

Phone

(708) 535-0505

NPI assigned

Nov 14, 2006

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568534592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 HADDASSAH DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653067",
            "telephone_number": "630-579-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521400",
            "telephone_number": "708-535-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROZOROVSKY",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "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": []
}

• Tangenise Sharane Porter, LPC
• Sarah James Posey, PA-C
• Pour Connections
• Lisa Pringle
• Progressive Medical & Hospital Supplies Inc.
• Purple Haven Group Home LLC
• Katarzyna Anna Rabianski, M.A., LPC
• Ibtisam Rahima
• Abrea Ramadan
• Pisit Rangsithienchai, M.D.

• General Practice Dentistry in Oak Forest, IL
• Providers in Oak Forest, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.