Organization Active NPI

Sebastian Przybylo, DMD, PLLC

  • Endodontics
  • Park Ridge, IL
National Provider Identifier
1669089777
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SEBASTIAN PRZYBYLO, DMD, PLLC
Practice address
350 S Northwest Hwy Ste 116
Park Ridge, IL 60068-4262
Phone
(847) 823-4161
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sebastian Adam Przybylo, DMDNPI 1558842872
Title
Endodontist
Phone
(708) 663-2621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

350 S Northwest Hwy Ste 116
Park Ridge, IL 60068-4262

Mailing address

921 S Bishop St Apt 2
Chicago, IL 60607-3895
Phone (708) 663-2621

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1669089777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S BISHOP ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073895",
            "telephone_number": "708-663-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 116",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-823-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN PRZYBYLO, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "PRZYBYLO",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "708-663-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.