Veterans Square Diagnostics, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01908827 Issued in IL

Legal business name

VETERANS SQUARE DIAGNOSTICS, INC.

Practice address

4849 N Milwaukee Ave
Suite 505
Chicago, IL 60630-5100

Phone

(773) 622-8700

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David Kodner

Title

President

Phone

(773) 622-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jolanta Zakrzewska, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1801046511
  NPD (past)

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1366788697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MILWAUKEE AVE",
            "address_2": "SUITE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606305100",
            "telephone_number": "773-622-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 N MILWAUKEE AVE",
            "address_2": "SUITE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606305100",
            "telephone_number": "773-622-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS SQUARE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "KODNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-622-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01908827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jeanne Vest Hart, DO
• Luke Skyler Vest, MD
• David Mark Vester, M.D.
• Veteran Youth Corp
• Veterans Administration
• Camryn Spencer Veteto
• Marie Rose Vetter, AU.D.
• Olivia Vetter
• Sarah Vetter, M.S. CCC-SLP
• Gijo George Vettiankal, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in 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 Dec 13, 2012; 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.