Kenneth Jazdzewski in Antioch - General Practice
Kenneth Jazdzewski - NPI 1215086509
Kenneth Jazdzewski is a General Practice in Antioch, Illinois. Kenneth Jazdzewski practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Jazdzewski is 1215086509. The last update date is 2007-07-08.
Kenneth Jazdzewski's current location address is 800 Main St, Antioch, Illinois. You can contact this provider via phone number 8473951461 and fax number 8473959255. The mailing address for Kenneth Jazdzewski is 800 Main St, Antioch, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Jazdzewski |
---|---|
Address | 800 Main St, Antioch, Illinois |
Phone Number | 8473951461 |
Fax Number | 8473959255 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1215086509 |
---|---|
Provider Enumeration Date | 2007-01-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 800 Main St |
---|---|
City | Antioch |
State | Illinois (IL) |
Post Code | 600021542 |
Phone Number | 8473951461 |
Fax Number | 8473959255 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 1223G0001X |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Jazdzewski by the Centers for Medicare & Medicaid Services?
The Kenneth Jazdzewski has been issued the NPI (National Provider Identifier) 1215086509, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth Jazdzewski is located?
The Kenneth Jazdzewski is situated at the following address: 800 Main St, Antioch, IL, 600021542.
What is Kenneth Jazdzewski's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Jazdzewski is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215086509 to Kenneth Jazdzewski?
The Centers for Medicare & Medicaid Services originally issued the 1215086509 to Kenneth Jazdzewski on 2007-01-09.
As of what date were the details related to Kenneth Jazdzewski most recently updated or revised?
The information pertaining to Kenneth Jazdzewski, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.