MEDICARE: DOGWOOD GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	019023860	IL

General Provider Information

NPI Number	:	1437509270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOGWOOD GROUP PC

Provider Business Mailing Address
First Line	:	1752 N TAFT AVE
Second Line	:
City	:	BERKELEY
State	:	IL
Zip	:	60163-1555
Country	:	US
Telephone Number	:	773-308-3787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1752 N TAFT AVE
Second Line	:
City	:	BERKELEY
State	:	IL
Zip	:	60163-1555
Country	:	US
Telephone Number	:	773-308-3787
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. OMAR L GHONEIM
Credential	:	DDS
Telephone Number	:	773-308-3787

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	06/13/2016

Similar Medicare Providers

1497884985 — PAYAM ZAREI DDS-BERKELEY DENTAL CARE PC
Practice Location Address:

1752 N TAFT AVE
BERKELEY, IL
60163-1555

Practice Phone: 708-449-8683
Practice Fax: 708-449-8806

1467903393 — MISS VANESSA CAMPOS
Practice Location Address:

1752 N TAFT AVE
BERKELEY, IL
60163-1555

Practice Phone: 708-449-8683
Practice Fax:

1346838331 — SHANNON ZESZUT SLP
Practice Location Address:

1555 N WOLF RD
BERKELEY, IL
60163-1408

Practice Phone: 216-789-8795
Practice Fax:

1811269566 — MR. ERNEST MARVIN KOTLIER M.D.
Practice Location Address:

1555 SCENIC AVE
BERKELEY, CA
94708-1813

Practice Phone: 510-368-1221
Practice Fax: 510-548-1727

1194720292 — NEW HOME RESPIRATORY CARE, INC
Practice Location Address:

5813 SAINT CHARLES RD
BERKELEY, IL
60163-1031

Practice Phone: 708-547-6020
Practice Fax: 708-547-6025

1073551990 — VILLAGE OF BERKELEY
Practice Location Address:

5819 ELECTRIC AVE
BERKELEY, IL
60163-1522

Practice Phone: 708-449-9444
Practice Fax: 708-449-6189

Directions to “DOGWOOD GROUP PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.