Agnieszka Chruszczyk, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021001970 Issued in IL

Practice address

4905 Old Orchard Ctr Ste 716
Skokie, IL 60077-4734

Phone

(847) 676-9581

Fax

(847) 676-3882

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 16, 2020 through Jun 16, 2028

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.

• Water Tower Endodontics, LTD.

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1326451691
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1710050802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 716",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774734",
            "telephone_number": "847-676-9581",
            "fax_number": "847-676-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 716",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774734",
            "telephone_number": "847-676-9581",
            "fax_number": "847-676-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRUSZCZYK",
        "first_name": "AGNIESZKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024599",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021001970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Choi, L.AC.
• Christina Helen Choi
• Jane Choi, FNP
• Chris H Chon, MD
• Magdalena M Chowaniec, PTA
• Mark C Chua, NP
• Holly Chuang
• Elizabeth K Chung, M.D.
• Susie Chung, D.D.S.
• Yoo Mi Chung, D.P.T

• Endodontics in Skokie, IL
• Providers in Skokie, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.