William L. Jesenovec, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

700 S Lewis Ave
Suite 200
Waukegan, IL 60085-6100

Phone

(847) 336-9033

Fax

(847) 336-9093

NPI assigned

Mar 7, 2007

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033249859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S LEWIS AVE",
            "address_2": "SUITE 200",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856100",
            "telephone_number": "847-336-9033",
            "fax_number": "847-336-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S LEWIS AVE",
            "address_2": "SUITE 200",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856100",
            "telephone_number": "847-336-9033",
            "fax_number": "847-336-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESENOVEC",
        "first_name": "WILLIAM",
        "middle_name": "L.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ruth Jeep, DIETITIAN
• Jem Treatment, Inc
• Johnnie Mae Jenkins
• Elizabeth Jenson
• David Jeong, DDS
• Judith Lynn Jesse, RN
• Elizabeth Jimenez
• Valerie Johansen
• John P Freeland MD SC
• Elena Johns

• General Practice Dentistry in Waukegan, IL
• Providers in Waukegan, 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.