Ellen E Tkach, D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019021157 Issued in IL

Legal business name

ELLEN E TKACH, D.D.S., P.C.

Practice address

1029 Howard St Ste 201
Evanston, IL 60202-3877

Phone

(847) 431-4416

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ellen E Tkach, D.D.S.

Title

Ceo/President

Phone

(847) 431-4416

Specialties & licenses 1

Addresses

Tax ID family

Ellen E Tkach DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ellen E. Tkach, DDS, P.C.

  • Dentist
  • Mundelein, IL
  • NPI 1336540863
  NPD tax ID

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1700212040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST STE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-431-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST STE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-431-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN E TKACH, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "TKACH",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "847-431-4416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Hart, M.P.T. & Associates, P.C.
• Elizabeth Wilton Therapy, LLC
• Ellen Kruse and James McCrackan, Inc.
• Ellen Lonnquist PLLC
• Ellen Odonovan LCPC PLLC
• Peter Louis Ellew, LCPC
• Monica Elliott, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.