Winnetka Dental Group

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

019016803 Issued in IL

Legal business name

WINNETKA DENTAL GROUP

Practice address

716 Elm St
Winnetka, IL 60093-2556

Phone

(847) 441-5939

Fax

(847) 441-7148

NPI assigned

Mar 31, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael A Czarkowski, DDS

Title

Owner and Dentist

Phone

(847) 441-5939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1073802948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ELM ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932556",
            "telephone_number": "847-441-5939",
            "fax_number": "847-441-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 ELM ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932556",
            "telephone_number": "847-441-5939",
            "fax_number": "847-441-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNETKA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "CZARKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER AND DENTIST",
        "authorized_official_telephone_number": "847-441-5939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019016803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maia Wheeler
• Alexander M Wind, MD
• Robin M Wind, M.D.
• Winnetka Avenue Physicians, SC
• Winnetka Dental Associates, P.C.
• Leah Wolff, LCSW
• Metta Wongsarnpigoon, M.D.
• Barbara Lee Wrate, RN
• Joan Zietlow, RN

• Prosthodontics in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.