Active NPI
Justyna Chojnowski, DDS
- Dentist
- Gurnee, IL
National Provider Identifier
1245808005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019033246
- Practice address
- 101 S Greenleaf St Ste E
Gurnee, IL 60031-3369 - Phone
- (847) 662-3100
- NPI assigned
- Jun 16, 2021
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019033246 | IL | Primary |
Addresses
Primary practice location
101 S Greenleaf St Ste E
Gurnee, IL 60031-3369
Mailing address
2646 West St
River Grove, IL 60171-1628
Other practice location 1
2646 West St
River Grove, IL 60171-1628
Phone (773) 706-4699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019033246 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates for Family Dentistry, LTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Gurnee, IL
- NPI 1831206366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1245808005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2646 WEST ST",
"city": "RIVER GROVE",
"state": "IL",
"postal_code": "601711628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S GREENLEAF ST STE E",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313369",
"telephone_number": "847-662-3100"
}
],
"practiceLocations": [
{
"address_1": "2646 West St",
"address_purpose": "LOCATION",
"city": "River Grove",
"state": "IL",
"postal_code": "601711628",
"country_code": "US",
"telephone_number": "773-706-4699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOJNOWSKI",
"first_name": "JUSTYNA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019033246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.