Active NPI
Elzbieta Maria Stojkowski, DDS
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1609376029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.031258
- Practice address
- 5613 W Irving Park Rd
Chicago, IL 60634-2740 - Phone
- (773) 286-4030
- NPI assigned
- Feb 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.031258 | IL | Primary |
Addresses
Primary practice location
5613 W Irving Park Rd
Chicago, IL 60634-2740
Mailing address
1420 Chippewa Pathway
Riverwoods, IL 60015-1611
Phone (773) 307-0208
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 |
|---|---|---|---|
| 019.031258 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Dental Clinic, LTD. | General Practice | Current | Accepting new patients |
| Portage Park Dental Associates, LTD | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Schaumburg, IL
- NPI 1457922049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1609376029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 CHIPPEWA PATHWAY",
"city": "RIVERWOODS",
"state": "IL",
"postal_code": "600151611",
"telephone_number": "773-307-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5613 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342740",
"telephone_number": "773-286-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOJKOWSKI",
"first_name": "ELZBIETA",
"middle_name": "MARIA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.031258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.