AGNIESZKA CHRUSZCZYK DDS NPI 1710050802

NPI Information

  • NPI: 1710050802
  • Provider Name: AGNIESZKA CHRUSZCZYK, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4905 OLD ORCHARD CTR STE 716
    SKOKIE, IL
    ZIP 60077
  • Phone: (847) 676-9581

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NPI Details

Agnieszka Chruszczyk, DDS is an endodontics dentist in Skokie, IL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Agnieszka Chruszczyk, DDS NPI is 1710050802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4905 OLD ORCHARD CTR STE 716
SKOKIE, IL
ZIP 60077-734
Phone: (847) 676-9581
Fax: (847) 676-3882

The NPI 1710050802 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/16/2006 and was last updated on 10/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist019024599ILLINOISNo
21223E0200XDentistEndodontics021001970ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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