Active NPI
Clara Bajzek
- Dentist
- Downers Grove, IL
National Provider Identifier
1780167064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019031839
- Practice address
- 7335 Lemont Rd
Downers Grove, IL 60516-3808 - Phone
- (630) 884-8174
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019031839 | IL | Primary |
Addresses
Primary practice location
7335 Lemont Rd
Downers Grove, IL 60516-3808
Mailing address
3032 S Princeton Ave Apt 2R
Chicago, IL 60616-2607
Phone (708) 205-2267
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 |
|---|---|---|---|
| 019031839 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alivio Dental Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Point of Service
- Downers Grove, IL
- NPI 1558740373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1780167064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3032 S PRINCETON AVE APT 2R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162607",
"telephone_number": "708-205-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7335 LEMONT RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605163808",
"telephone_number": "630-884-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJZEK",
"first_name": "CLARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.