Healthcare Provider Details

I. General information

NPI: 1003723099
Provider Name (Legal Business Name): DR. GRETA S KUMSKIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S GARFIELD ST
HINSDALE IL
60521-4292
US

IV. Provider business mailing address

101 S GARFIELD ST
HINSDALE IL
60521-4292
US

V. Phone/Fax

Practice location:
  • Phone: 630-323-5200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.037447
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: