DR. KYLE JAMES HRESKO D.D.S.
NPI 1902345762
Dentist - Oral and Maxillofacial Surgery in Gurnee, IL

Active since February 13, 2017Opted out of Medicare · through Dec 28, 2026
7500 GRAND AVE STE 101, GURNEE, IL 60031(847) 272-9516(847) 272-9551 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2025, Jan 16, 2023, Feb 13, 2017 (3 updates tracked since 2017).

About Dr. Kyle James Hresko D.d.s. NPPES

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

DR. KYLE JAMES HRESKO D.D.S. (NPI 1902345762) is an individual oral and maxillofacial surgery provider in Gurnee, Illinois, licensed in Wisconsin (6000023-15) and active in the NPI registry since February 2017. He has opted out of Medicare through December 28, 2026.

NPPES Registry Identity

NPI1902345762
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KYLE JAMES HRESKOCredential: D.D.S.
Location Address7500 GRAND AVE STE 101Gurnee, IL 60031-1585
Mailing Address1240 Meadow Rd Ste 300Northbrook, IL 60062-3679 · (847) 272-9516 · Fax (816) 272-9551
Fax(847) 272-9551
Sole ProprietorYes
Enumeration DateFebruary 13, 2017
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1902345762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WI · 6000023-15
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7500 GRAND AVE STE 101, Gurnee, IL 60031

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kyle James Hresko D.d.s. 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 December 28, 2022 through December 28, 2026.

Opt-Out Effective DateDecember 28, 2022
Opt-Out In Effect ThroughDecember 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Kyle Hresko's NPI number?

The NPI number for Kyle Hresko is 1902345762. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Kyle Hresko located?

Kyle Hresko practices at 7500 Grand Ave Ste 101, Gurnee, IL 60031. The listed phone number is (847) 272-9516.

What is Kyle Hresko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kyle Hresko enrolled in Medicare?

No. Kyle Hresko has opted out of Medicare through December 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kyle Hresko accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kyle Hresko 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 Kyle Hresko was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.