Krystle Grandberry Widen is a Oak Park, Illinois based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Krystle Grandberry Widen is 019.033543 for General Practice Dentistry in Illinois. Her current practice location is 1113 Chicago Ave, Oak Park. Patients can reach her at 708-383-0500.
Krystle Grandberry Widen is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Krystle Grandberry Widen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Krystle Grandberry Widen
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
1113 Chicago Ave, Oak Park, Illinois, 60302-1803
Phone:
708-383-0500
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 are as mentioned below.
NPI Number:
1063942159
NPI Enumeration Date:
12 Jun, 2017
NPI Last Update On:
16 Feb, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Krystle Grandberry Widen are as mentioned below.
License Number
Specialization
State
Status
019.033543
General Practice Dentistry
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2307 W Melrose St, Chicago, Illinois
Zip:
60618-6317
Patients can reach Krystle Grandberry Widen at 1113 Chicago Ave, Oak Park, Illinois or can call to book an appointment on 708-383-0500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.