MEDICARE: CHICAGO CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1223P0221X	Pediatric Dentistry
2	207LP3000X	Pediatric Anesthesiology Physician
3	207L00000X	Anesthesiology Physician
4	367500000X	Certified Registered Nurse Anesthetist
5	1223D0004X	Dental Anesthesiology
6	1223G0001X	General Practice Dentistry
7	122300000X	Dentist

General Provider Information

NPI Number	:	1164293270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC

Provider Business Mailing Address
First Line	:	1220 CARAWAY CT STE 1050
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-5338
Country	:	US
Telephone Number	:	301-494-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8658 S SACRAMENTO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60652-3800
Country	:	US
Telephone Number	:	301-494-3000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEFFERY WHEELER
Credential	:
Telephone Number	:	301-494-3000

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/13/2026

Similar Medicare Providers

1619313988 — MR. JESSE PATRICK WALTZ MAED, LMFT
Practice Location Address:

8658 S SACRAMENTO AVE
CHICAGO, IL
60652-3800

Practice Phone: 773-962-3740
Practice Fax:

1275308116 — KORTNEY DOREEN BURKHARDT
Practice Location Address:

8658 S SACRAMENTO AVE
CHICAGO, IL
60652-3800

Practice Phone: 773-962-3740
Practice Fax:

1881460277 — MS. JEWEL ELIZABETH WAKEFIELD LCSW
Practice Location Address:

8658 S SACRAMENTO AVE
CHICAGO, IL
60652-3800

Practice Phone: 312-388-5116
Practice Fax:

1083461735 — CHICAGO CHILDREN'S SURGERY CENTER, LLC
Practice Location Address:

8658 S SACRAMENTO AVE
CHICAGO, IL
60652-3800

Practice Phone: 301-494-3000
Practice Fax:

1114885423 — MAYA HOWARD
Practice Location Address:

160 E GRAND AVE STE 500
CHICAGO, IL
60611-3800

Practice Phone: 847-686-0090
Practice Fax:

1174503403 — DR. DAVID MICHAEL BROOKS PH.D.
Practice Location Address:

3800 N LAKE SHORE DR # 5E
CHICAGO, IL
60613-3301

Practice Phone: 310-498-0555
Practice Fax:

Directions to “CHICAGO CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC ” 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.