Wanda Laszcz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019026164 Issued in IL

Practice address

320 Lake St
Oak Park, IL 60302-2612

Phone

(708) 848-0528

NPI assigned

Mar 9, 2007

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD
• The Board of Trustees of the University of Illinois

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1356367304
  NPD
• The Board of Trustees of the University of Illinois

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1669493466
  NPD
• Family Service and Mental Health Center of Cicero

  • Community/Behavioral Health Agency
  • Oak Park, IL
  • NPI 1265705990
  NPD (past)
• Oak Park River Forest Infant Welfare Society

  • Dentist
  • Oak Park, IL
  • NPI 1134258916
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1083746606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022612",
            "telephone_number": "708-848-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022612",
            "telephone_number": "708-848-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASZCZ",
        "first_name": "WANDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruchira Laroia, DDS
• Emma Larson, MA
• Katherine Mary Larson, MA, CCC-SLP
• Trisha Larson, OTR
• Pearl Amanda Lasky, LMT
• Chris Lati
• Pamela L Latos, MSW LCSW ACSW
• Lacy Lillian Lauber, CNM
• Phyllis I Laughlin, LCPC
• Rose Lawrence, LCPC

• Dentist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.