Jeffrey Scott Wolszon, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

019-021721 Issued in IL

Practice address

1511 W Taylor St
Chicago, IL 60607-4015

Phone

(312) 733-1080

Fax

(312) 733-9773

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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.

• Jeffrey Wolszon D.D.S., LTD.

  • Dentist
  • Chicago, IL
  • NPI 1447663117
  NPD (past) Authorized official

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1659360022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074015",
            "telephone_number": "312-733-1080",
            "fax_number": "312-733-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074015",
            "telephone_number": "312-733-1080",
            "fax_number": "312-733-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSZON",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-021721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Wolowitz, P.H.D.
• Elita Wolsk, MA LCSW
• Bogumila Wolska, DEVELOPMENTAL THERAP
• Matthew Wolski
• Rebecca J Wolsky, M.D.
• Caroline Wolter, RN
• Marguerite J Wolter, MA
• Melanie Elizabeth Wolter
• Whitney Wolters, WHNP
• Nathan Woltman, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.