Jill E Doan, DDS MS

Primary specialty

DentistTaxonomy code 122300000X

License

019-027357 Issued in IL

Practice address

223 W Jackson Blvd
Suite 1275
Chicago, IL 60606-6908

Phone

(312) 588-0112

Fax

(312) 588-0398

NPI assigned

Feb 19, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1679741037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD",
            "address_2": "SUITE 1275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066972",
            "telephone_number": "312-588-0112",
            "fax_number": "312-588-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD",
            "address_2": "SUITE 1275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066908",
            "telephone_number": "312-588-0112",
            "fax_number": "312-588-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "JILL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-027357",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021-002235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trieu Huu DO, MD
• Van DO, MD
• Lauren Doak, PA-C
• Ann T Doan, NP
• Jannice Truc-Anh Doan
• Stephanie T Doan, MA, LPC, NCC
• Thuy Duong Doan, MD
• Vivian Doan, M.D.
• Logan August Dobbe, MD
• Johanna Hilton Dobbin, MA

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.