Provider Demographics
NPI:1922477033
Name:TRUSZKOWSKI, BARBARA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:TRUSZKOWSKI
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 1:5489 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-1249
Mailing Address - Country:US
Mailing Address - Phone:773-792-0123
Mailing Address - Fax:773-792-2033
Practice Address - Street 1:5489 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-1249
Practice Address - Country:US
Practice Address - Phone:773-792-0123
Practice Address - Fax:773-792-2033
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.024300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist