Walter Jagodzinski, D.D.S
NPI 1609084482 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6426 N Northwest Hwy
Chicago, IL 60631 - Phone
- (773) 631-5200
- Fax
- (773) 631-5755
- Organisation at this address
- Edison Park Smiles,Ltd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois