Egdcltd is a Dental Clinic in Chicago, Illinois. It is located at 2451 W 79th St, Chicago, IL and its contact number is 312-885-0562. The authorized person for Egdcltd is Dr. Kenneth Kadziela
who is Dentist of the clinic and their contact number is 312-885-0562. The primary license number for Egdcltd is 019020204 (Dentist) in Illinois.
Egdcltd Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Egdcltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Egdcltd |
| Specialization: | Dentistry |
| Clinic Address: | 2451 W 79th St, Chicago,
Illinois, 60652-1734 |
| Phone: | 312-885-0562 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kenneth Kadziela |
| Position: | Dentist |
| Contact Number: | 312-885-0562 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Egdcltd clinic are as mentioned below.
| NPI Number: | 1649717752 |
| NPI Enumeration Date: | 26 Jan, 2017 |
| NPI Last Update On: | 26 Jan, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Egdcltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 019020204 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 019020204 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Egdcltd
2451 W 79th St,
Chicago, Illinois |
| Zip: | 60652-1734 |
| Phone Number: | -- |
Patients can reach Egdcltd at
2451 W 79th St, Chicago, Illinois or can
call to book an appointment on 312-885-0562.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.