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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

NPI Number 1114090750
LBN Legal business name KRYSTYNA WAGENHEJM CIESIELSKI DDS PC
Authorized official KRYSTYNA WAGENEHJM-CIESIELSKI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 07/03/2008 - About 18 years ago
Identifiers
IL License # 019024460
IL License # 021001519
IL License # 021002182
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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