Wisinski, Jacqueline M

Wisinski, Jacqueline M is an sole proprietor health care provider with primary practice located at 801 S Paulina St , Chicago IL 60612-7210. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Wisinski, Jacqueline M can be contacted via phone (815) 382-3523.

Contact Information

Primary practice address
801 S Paulina St Chicago IL 60612-7210
Phone: (815) 382-3523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.032571 Illinois
Dental Providers / Endodontics 1223E0200X 021.003278 Illinois

Profile Details

NPI number 1639789936
LBN Legal business name Wisinski, Jacqueline M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2020
Last updated Jul 29th, 2023 - about 3 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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