Healthcare Provider Details

I. General information

NPI: 1376459867
Provider Name (Legal Business Name): AKG DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CANAL ST STE E
LEMONT IL
60439-3628
US

IV. Provider business mailing address

225 CANAL ST STE E
LEMONT IL
60439-3628
US

V. Phone/Fax

Practice location:
  • Phone: 630-914-9727
  • Fax: 630-914-9728
Mailing address:
  • Phone: 630-914-9727
  • Fax: 630-914-9728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ANGELIKA MARIA KLUSKA
Title or Position: DENTIST
Credential: DDS
Phone: 708-262-2779