Provider Demographics
NPI:1801356654
Name:KAREN KASINSKI, DDS, P.C.
Entity Type:Organization
Organization Name:KAREN KASINSKI, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KASINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:262-488-8191
Mailing Address - Street 1:1625 SHERIDAN RD STE K&L
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1824
Mailing Address - Country:US
Mailing Address - Phone:847-256-1070
Mailing Address - Fax:
Practice Address - Street 1:1625 SHERIDAN RD STE K&L
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1824
Practice Address - Country:US
Practice Address - Phone:847-256-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental