Provider Demographics
NPI:1598838641
Name:JONYNAS, KARILE IRENA (DDS)
Entity Type:Individual
Prefix:
First Name:KARILE
Middle Name:IRENA
Last Name:JONYNAS
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 1:3600 N LAKE SHORE DR
Mailing Address - Street 2:UNIT 2124
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-4684
Mailing Address - Country:US
Mailing Address - Phone:773-325-2919
Mailing Address - Fax:
Practice Address - Street 1:7326 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-7225
Practice Address - Country:US
Practice Address - Phone:708-452-1916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice