Healthcare Provider Details

I. General information

NPI: 1740126986
Provider Name (Legal Business Name): DR. KRISTINA ZIVREV, DMD LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BURR RIDGE PKWY STE 101
BURR RIDGE IL
60527-0843
US

IV. Provider business mailing address

50 BURR RIDGE PKWY STE 101
BURR RIDGE IL
60527-0843
US

V. Phone/Fax

Practice location:
  • Phone: 630-928-0049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA ZIVREV
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 630-928-0049