Provider Demographics
NPI:1790859817
Name:WARSHAWSKY, NEIL M (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:M
Last Name:WARSHAWSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2122 STRATFORD LN
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-5745
Mailing Address - Country:US
Mailing Address - Phone:847-279-0300
Mailing Address - Fax:
Practice Address - Street 1:275 PARKWAY DR STE 523
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-4345
Practice Address - Country:US
Practice Address - Phone:847-279-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210016281223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics