Jazdzewski, Kenneth
Jazdzewski, Kenneth is an individual health care provider with primary practice located at 800 Main St , Antioch IL 60002-1542. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jazdzewski, Kenneth can be contacted via phone (847) 395-1461.Contact Information
Primary practice address
800 Main St
Antioch IL 60002-1542
Phone: (847) 395-1461
Fax: (847) 395-9255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1215086509 |
|---|---|
| LBN Legal business name | Jazdzewski, Kenneth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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