Patrycja Sobus, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033211 Issued in IL

Practice address

1120 E Central Rd
Arlington Heights, IL 60005-3220

Phone

(847) 890-4444

NPI assigned

Jun 14, 2021

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

Practice roles

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.

• Kathy Pawlusiewicz DDS. Dba Prospect Dental

  • General Practice Dentistry
  • Arlington Heights, IL
  • NPI 1265922355
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1639747017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N ABERDEEN ST UNIT 5D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072150",
            "telephone_number": "773-827-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053220",
            "telephone_number": "847-890-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBUS",
        "first_name": "PATRYCJA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Snyder, LCPC
• Daniel Daeyol So, M.D.
• Michelle Ann Sobieck, MPH, RD, LDN
• Sarah Sobieski
• Urszula A Sobol, M.D.
• Jeffrey Charles Socher, D.D.S.
• David Fitzsimmons Soglin, M.D.
• Jin Moon Soh, DDS
• Kevin Kiwon Sohn
• Sharon Sojoodi VII

• General Practice Dentistry in Arlington Heights, IL
• Providers in Arlington Heights, 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, 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.

Verify at the official NPI Registry.