MRS. SANDRA LYNN PIETRZAK


Address: 6800 Main St, Downers Grove, IL 60516
Phone: 6309695350

MRS. SANDRA LYNN PIETRZAK (NPI# 1922176593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922176593
Entity Type Individual
Full Name MRS. SANDRA LYNN PIETRZAK
Credential RDH
Practice Address 6800 Main St
Downers Grove
IL 60516
Mailing Address 8109 Geneva St
Woodridge
IL 60517
Practice Telephone 6309695350
Practice Fax Number 6309694692
Mailing Telephone 6309105612
Enumeration Date 2006-12-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122400000X Denturist IL Dental Providers

Office Location

Street Address 6800 MAIN ST
City DOWNERS GROVE
State IL
Zip Code 60516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316937345 Nancy A. Congdon, M.s., P.C. Audiologist 6800 Main St, #114, Downers Grove, IL 60516-3493 2005-10-21
1053788331 Jessica Lynne Anderson Social Worker 6800 Main St, Suite 210, Downers Grove, IL 60516-3493 2015-08-21
1790117208 Illinois Neurotherapy Associates Chiropractor 6800 Main St, Ste 210, Downers Grove, IL 60516-3493 2013-08-07
1437591880 Malgorzata Bryja Dental Hygienist 6800 Main St, Downers Grove, IL 60516-3493 2013-07-26
1356608665 Taek Y. Kim, M.d., S.c. Specialist 6800 Main St, Suite 215, Downers Grove, IL 60516-3493 2012-04-12
1154622637 Deluxe Home Health Care LLC Home Health 6800 Main St, Suite 020, Downers Grove, IL 60516-3493 2010-11-15
1548584386 Christine M Ellis Dental Hygienist 6800 Main St, Downers Grove, IL 60516-3493 2010-03-23
1952624686 Tammy F Bernath Dental Hygienist 6800 Main St, Downers Grove, IL 60516-3493 2010-03-09
1508018649 Robin B Blakkolb Dds Ltd Dentist 6800 Main St, Suite 106, Downers Grove, IL 60516-3493 2008-10-21
1679740336 Glenn R Pouleson Dentist 6800 Main St, Apex Endodontics #205, Downers Grove, IL 60516 2008-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174015432 Costula Cassiani Behavior Technician 20w438 Camder Drive, Downers Grove, IL 60516 2018-06-02
1346769130 Zahra Bohri Dietitian, Registered 6337 Blodgett Ct, Downers Grove, IL 60516 2017-09-13
1033567359 Samuel Brooks Allen Dentist 6800 Main St., Third Floor, Downers Grove, IL 60516 2016-05-26
1396019469 Beverly Woltman Technician/Technologist 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 2012-03-06
1992080642 Verna Dianne Velazquez Counselor 5630 Hillcrest Rd, Downers Grove, IL 60516 2011-10-13
1598048274 Rabia Ansari Optometrist 1530 W 75th St, Downers Grove, IL 60516 2011-09-20
1487971545 Brilliant Dental LLC Dentist 1400 W 75th St, B1, Downers Grove, IL 60516 2010-04-29
1235466558 Erika D Schultz Social Worker 11008 Palmer St., Downers Grove, IL 60516 2009-11-06
1124253836 Main Street Chiropractic and Wellness Center Ltd Clinic/Center 6234 S Main Street, Downers Grove, IL 60516 2009-05-26
1841439320 Lisa Marie Burknap Behavioral Analyst 9 South 329 Cumnor, Downers Grove, IL 60516 2009-02-06
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Taxonomy Information

Taxonomy Code 122400000X
Grouping Dental Providers
Classification Denturist

Taxonomy Definition

Definition to come.

Competitor

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City DOWNERS GROVE
Zip Code 60516

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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