Provider Demographics
NPI:1528180122
Name:CHESKIS, SIMONA ALEXANDRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SIMONA
Middle Name:ALEXANDRA
Last Name:CHESKIS
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 1:1450 GINGER WOODS CT
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-5401
Mailing Address - Country:US
Mailing Address - Phone:312-375-8860
Mailing Address - Fax:
Practice Address - Street 1:4949 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-7212
Practice Address - Country:US
Practice Address - Phone:847-397-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019026416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist