Seymour Leo Gottlieb, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01911325 Issued in IL

Practice address

806 Central Ave
Suite201
Highland Park, IL 60035-5613

Phone

(847) 266-0565

Fax

(847) 835-2445

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811108970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 CENTRAL AVE",
            "address_2": "SUITE201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355613",
            "telephone_number": "847-266-0565",
            "fax_number": "847-835-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 CENTRAL AVE",
            "address_2": "SUITE201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355613",
            "telephone_number": "847-266-0565",
            "fax_number": "847-835-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "SEYMOUR",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01911325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Gonzalez, LAC, LMT
• Alexandra Goodman
• Bobbie J Gordon, LCSW
• Julia Gorelik, MD
• Liana Paula Gorenyuk
• Diane Gould, LCSW, BCBA
• Ingrid Anderson Grace, O.T.
• Meghan E Grant, M.S. CCC-SLP
• Anamarie Lynn Graubart, MSN, CPNP
• Linda Beth Greco, MSW, LCSW

• General Practice Dentistry in Highland Park, IL
• Providers in Highland Park, 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.