Aneta M Kaczowka

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031663 Issued in IL

Practice address

890 N Roselle Rd
Hoffman Estates, IL 60169-1850

Phone

(847) 384-8969

NPI assigned

Jun 14, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1376037259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S SHORE DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600428463",
            "telephone_number": "847-809-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N ROSELLE RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691850",
            "telephone_number": "847-384-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOWKA",
        "first_name": "ANETA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Juntunen, DNP, APRN, CPNP-PC
• Florije Jusufi, LCSW
• Kathryn R Juzwin, PSYD
• K Boehm DDS & Assoc PC
• Michael Walter Kaczmarski, M.D.
• Kadabaenterprise LLC
• Oluwafunke Temitope Kafisanwo, PMHNP
• Helen P Kafka
• Tendayi Rowany Kakwere, MD
• Krimo Kalache, CSA

• General Practice Dentistry in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Jun 14, 2018; 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.