IndividualActive
Katelyn Prevenslik, DDS
NPI 1619653862 · Dentist · Chicago, IL
Provider details
- NPI number
- 1619653862
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 019.036255 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1259 S Wabash Ave
Chicago, IL 60605-2412
Phone: (312) 576-8187
Street-level locationGet directions
Mailing address
540 N State St Apt 3209
Chicago, IL 60654-7238
Registry dates
- Enumerated
- 2023-06-23
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.