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Contact Information

KRYSTYNA WAGENHEJM CIESIELSKI DDS PC
7900 N MILWAUKEE AVE
STE 2-21B
NILES, IL60714-3159
 Phone: 847-581-9400
 Fax: 847-581-9044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for KRYSTYNA WAGENHEJM CIESIELSKI DDS PC · (Female)

NPI Number 1114090750
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2006
Last updated 07/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019024460
  • IL License # 021001519
  • IL License # 021002182
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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