MEDICARE: DR. CHRISTOPHER ROBERT SZYDELKO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019027028	IL

General Provider Information

NPI Number	:	1518185669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ROBERT SZYDELKO D.D.S.

Provider Business Mailing Address
First Line	:	206 3RD ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-5267
Country	:	US
Telephone Number	:	630-272-9592
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 N ISLAND AVE STE H
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-1996
Country	:	US
Telephone Number	:	630-690-1155
Fax Number	:	630-960-1196

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	02/05/2023

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