Active NPI
Egon Benedict Schein, D.D.S.
- General Practice Dentistry
- Waukegan, IL
National Provider Identifier
1639225873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019011511
- Practice address
- 218 W Madison St
Waukegan, IL 60085-4314 - Phone
- (847) 623-0782
- Fax
- (847) 623-0798
- NPI assigned
- Jan 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019011511 | IL | Primary |
Addresses
Primary practice location
218 W Madison St
Waukegan, IL 60085-4314
Mailing address
1320 Golf Rd
Waukegan, IL 60087-4831
Phone (847) 623-0782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019011511 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alsahlani and Albazzaz Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1639225873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 GOLF RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600874831",
"telephone_number": "847-623-0782",
"fax_number": "847-662-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 W MADISON ST",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600854314",
"telephone_number": "847-623-0782",
"fax_number": "847-623-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEIN",
"first_name": "EGON",
"middle_name": "BENEDICT",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-27",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019011511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.