Elizabeth C. Szrom-Gavin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01902091 Issued in IL

Practice address

4401 W Lawrence Ave
Chicago, IL 60630-2510

Phone

(773) 725-6086

NPI assigned

May 21, 2007

Sex

Female

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

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801005533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S CHESTER AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684666",
            "telephone_number": "847-698-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302510",
            "telephone_number": "773-725-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZROM-GAVIN",
        "first_name": "ELIZABETH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01902091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beata J. Szot
• Ava Szott, LSW
• Ethan Mackenzie Szpara, DO
• Andrew P Szpur
• Nicholas P Szrama, MD, PHD
• Joanna Sztark
• Sylvia Sztark, LCPC
• Rebecca Szubert, PT, DPT
• Courtney Szudarski, BCBA
• Megan Szudarski, LCSW

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.