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NPI 1649717752 · Dentist · Chicago, IL
Provider details
- NPI number
- 1649717752
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Kadziela, Dentist(312) 885-0562
- License
- 019020204 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2451 W 79th St
Chicago, IL 60652-1734
Phone: (312) 885-0562
Street-level locationGet directions
Mailing address
2451 W 79th St
Chicago, IL 60652-1734
Registry dates
- Enumerated
- 2017-01-26
- Last updated
- 2017-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.