Active NPI
Esd Glendale Heights, PC
- Dental Clinic/Center
- Glendale Heights, IL
National Provider Identifier
1477145167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ESD GLENDALE HEIGHTS, PC
- Practice address
- 2161 Bloomingdale Rd
Glendale Heights, IL 60139-1679 - Phone
- (630) 893-1300
- NPI assigned
- Feb 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Christopher Szatkowski, DDS
- Title
- Owner
- Phone
- (630) 394-9040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2161 Bloomingdale Rd
Glendale Heights, IL 60139-1679
Mailing address
76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 394-9040
Other names 1
- Essentials Dental - Glendale Heights
National Provider Directory
National Provider DirectoryLocations
2161 Bloomingdale Rd
Glendale Hts, IL 60139
Phone (630) 894-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1477145167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 STRATFORD DR",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082201",
"telephone_number": "630-394-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2161 BLOOMINGDALE RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391679",
"telephone_number": "630-893-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESD GLENDALE HEIGHTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-04",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "SZATKOWSKI",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-394-9040",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Essentials Dental - Glendale Heights",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.