AGNIESZKA CHRUSZCZYK DDS
NPI 1710050802
Dentist - Endodontics in Skokie, IL

Q: What is Agnieszka Chruszczyk's NPI number?

The NPI number for Agnieszka Chruszczyk is 1710050802. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Agnieszka Chruszczyk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Agnieszka Chruszczyk enrolled in Medicare?

No. Agnieszka Chruszczyk has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since November 16, 2006Opted out of Medicare · through Jun 16, 2028

4905 OLD ORCHARD CTR STE 716, SKOKIE, IL 60077(847) 676-9581(847) 676-3882 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Agnieszka Chruszczyk Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGNIESZKA CHRUSZCZYK DDS (NPI 1710050802) is an individual endodontics provider in Skokie, Illinois, licensed in Illinois (021001970) and active in the NPI registry since November 2006. She has opted out of Medicare through June 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710050802

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameAGNIESZKA CHRUSZCZYKCredential: DDS

Location Address4905 OLD ORCHARD CTR STE 716Skokie, IL 60077-4734

Mailing Address4905 Old Orchard Ctr Ste 716Skokie, IL 60077-4734 · (847) 676-9581 · Fax (847) 676-3882

Phone(847) 676-9581

Fax(847) 676-3882

Sole ProprietorNo

Enumeration DateNovember 16, 2006

Last NPPES UpdateOctober 16, 2019

✔ NPI 1710050802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in IL · 021001970

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Also ListedDentistTaxonomy 122300000X · License 019024599 (IL)

4905 OLD ORCHARD CTR STE 716, Skokie, IL 60077

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Agnieszka Chruszczyk Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2020 through June 16, 2028.

Opt-Out Effective DateJune 16, 2020

Opt-Out In Effect ThroughJune 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnieszka Chruszczyk's NPI number?

The NPI number for Agnieszka Chruszczyk is 1710050802. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Agnieszka Chruszczyk located?

Agnieszka Chruszczyk practices at 4905 Old Orchard Ctr Ste 716, Skokie, IL 60077. The listed phone number is (847) 676-9581.

What is Agnieszka Chruszczyk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Agnieszka Chruszczyk enrolled in Medicare?

No. Agnieszka Chruszczyk has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Agnieszka Chruszczyk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Agnieszka Chruszczyk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agnieszka Chruszczyk was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.