Provider Demographics
NPI:1801272661
Name:SZYLKOWSKA, EWELINA (DMD)
Entity type:Individual
Prefix:DR
First Name:EWELINA
Middle Name:
Last Name:SZYLKOWSKA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 N ROSELLE RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1850
Mailing Address - Country:US
Mailing Address - Phone:847-348-8969
Mailing Address - Fax:
Practice Address - Street 1:890 N ROSELLE RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1850
Practice Address - Country:US
Practice Address - Phone:847-348-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.030362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist