Kyle James Hresko, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6000023-15 Issued in WI

Practice address

7500 Grand Ave Ste 101
Gurnee, IL 60031-1585

Phone

(847) 272-9516

Fax

(847) 272-9551

NPI assigned

Feb 13, 2017

Sex

Male

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Dec 28, 2022 through Dec 28, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• North Suburban Oral Surgery, LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Northbrook, IL
  • NPI 1063695104
  NPD
• Racine Dental Center LLC

  • Dentist
  • Racine, WI
  • NPI 1932814670
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1902345762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MEADOW RD STE 300",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623679",
            "telephone_number": "847-272-9516",
            "fax_number": "816-272-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GRAND AVE STE 101",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311585",
            "telephone_number": "847-272-9516",
            "fax_number": "847-272-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRESKO",
        "first_name": "KYLE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "6000023-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June M Homan, APN
• Zeungeon Mark Hongs, MD
• Hosep H Deyrmenjian, MD, PC
• Arash Reza Hosseini, D.D.S.
• Heather Maria Howard, LCSW
• Charisse Hudson-Quigley, M.D.
• Steven Hullana
• Ashley Hutchinson Tluczek, LCSW
• Amber Ijaz, D.O.
• Illinois Bone and Joint Institute, LLC

• Oral and Maxillofacial Surgery (Dentist) in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.