Active NPI
Joanna Kolanowska, D.D.S.,LTD.
- Dental Clinic/Center
- Grayslake, IL
National Provider Identifier
1790972677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JOANNA KOLANOWSKA, D.D.S.,LTD.
- Practice address
- 1148 E Washington St
Grayslake, IL 60030-7960 - Phone
- (847) 223-8901
- Fax
- (847) 223-8968
- NPI assigned
- Sep 25, 2007
- Last updated
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joanna Zdzislawa Kolanowska, D.D.S.
- Title
- President
- Phone
- (847) 223-8901
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | IL | Primary |
Addresses
Primary practice location
1148 E Washington St
Grayslake, IL 60030-7960
Mailing address
1148 E Washington St
Grayslake, IL 60030-7960
Phone (847) 223-8901
National Provider Directory
National Provider DirectoryLocations
1148 E Washington St
Grayslake, IL 60030
Phone (847) 223-8901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Grayslake, IL
- NPI 1972585362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190678400000",
"number": "1790972677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 E WASHINGTON ST",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307960",
"telephone_number": "847-223-8901",
"fax_number": "847-223-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 E WASHINGTON ST",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307960",
"telephone_number": "847-223-8901",
"fax_number": "847-223-8968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNA KOLANOWSKA, D.D.S.,LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A",
"authorized_official_last_name": "KOLANOWSKA",
"authorized_official_first_name": "JOANNA",
"authorized_official_middle_name": "ZDZISLAWA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-223-8901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.