Active NPI
Iwona Stefania Iwaszczyszyn, DDS
- Dentist
- Mt Prospect, IL
National Provider Identifier
1922211507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 259 E Rand Rd
# 110
Mt Prospect, IL 60056-2184 - Phone
- (847) 890-4444
- NPI assigned
- May 8, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
259 E Rand Rd
# 110
Mt Prospect, IL 60056-2184
Mailing address
1015 7TH Ave
Apt 6
La Grange, IL 60525-2903
Phone (708) 352-2287
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 |
|---|---|---|---|
| 019026593 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy Pawlksienica DDS PC Dba Prospect Dental | Dentist | 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.
-
- Dentist
- Mount Prospect, IL
- NPI 1972616720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922211507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 7TH AVE",
"address_2": "APT 6",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252903",
"telephone_number": "708-352-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E RAND RD",
"address_2": "# 110",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600562184",
"telephone_number": "847-890-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWASZCZYSZYN",
"first_name": "IWONA",
"middle_name": "STEFANIA",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Prospect, IL
Sources for this page
- 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.