Provider Demographics
NPI:1518185669
Name:SZYDELKO, CHRISTOPHER ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:SZYDELKO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-5267
Mailing Address - Country:US
Mailing Address - Phone:630-272-9592
Mailing Address - Fax:
Practice Address - Street 1:34 N ISLAND AVE STE H
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1996
Practice Address - Country:US
Practice Address - Phone:630-690-1155
Practice Address - Fax:630-960-1196
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190270281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice