Provider Demographics
NPI:1093878563
Name:LASKOWSKI, BARBARA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:LASKOWSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SUMMIT DRIVE
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBERG
Mailing Address - State:FL
Mailing Address - Zip Code:60194
Mailing Address - Country:US
Mailing Address - Phone:847-966-9000
Mailing Address - Fax:
Practice Address - Street 1:7900 N MILWAUKEE AVE
Practice Address - Street 2:SUITE 230A
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714
Practice Address - Country:US
Practice Address - Phone:847-966-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19016481122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist