Active NPI
Jolanta Zakrzewska, DDS
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1801046511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019018827
- Practice address
- 4849 No. Milwaukee Ave.
505
Chicago, IL 60630-5100 - Phone
- (773) 622-8700
- Fax
- (773) 286-4733
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019018827 | IL | Primary |
Addresses
Primary practice location
4849 No. Milwaukee Ave.
505
Chicago, IL 60630-5100
Mailing address
4849 N Milwaukee Ave
Suite 505
Chicago, IL 60630-5100
Phone (773) 281-6808
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019018827 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Square Diagnostics, Inc. | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1366788697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1801046511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 N MILWAUKEE AVE",
"address_2": "SUITE 505",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606305100",
"telephone_number": "773-281-6808",
"fax_number": "773-286-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 NO. MILWAUKEE AVE.",
"address_2": "505",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606305100",
"telephone_number": "773-622-8700",
"fax_number": "773-286-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKRZEWSKA",
"first_name": "JOLANTA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019018827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.