Jennifer Ann Seluzicki West

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032258 Issued in IL

Practice address

2410 Sampson St
North Chicago, IL 60088-2942

Phone

(847) 688-2469

NPI assigned

May 11, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arlington Heights Dental Group LTD

  • General Practice Dentistry
  • Arlington HTS, IL
  • NPI 1417961848
  NPD (past)

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1073003430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAMPSON ST",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600882942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMPSON ST",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600882942",
            "telephone_number": "847-688-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JENNIFER",
        "middle_name": "ANN SELUZICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Weldegiorgis
• Brigham Tyler Wells, PA-C
• Matthew Welsh, PH.D.
• Allan Wernick, PH.D.
• Jessica S Wertz, PSY.D.
• Evan R Whitbeck, D.D.S.
• Jeffery John Willgale, MSW
• Brendan Allyn Williams
• Eddie E Williams, PH.D.
• Kenneth Jordan Williams

• General Practice Dentistry in North Chicago, IL
• Providers in North Chicago, 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 Aug 15, 2021; 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.