Kiczenski, Timothy John
Kiczenski, Timothy John is an sole proprietor health care provider with primary practice located at 140 E Commercial St , Wood Dale IL 60191-1582. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kiczenski, Timothy John can be contacted via phone (630) 766-2223.Contact Information
Primary practice address
140 E Commercial St
Wood Dale IL 60191-1582
Phone: (630) 766-2223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1720110570 |
|---|---|
| LBN Legal business name | Kiczenski, Timothy John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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