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Deactivated NPI 1881112639 Deactivated / Inactive NPI Male Practitioner

Joseph Malecki

Dentist - General Practice • Aurora, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joseph Malecki has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2017
NPI Deactivation Date April 12, 2018
Total Practice Duration ~1 Years of Practice (2017 – 2018)

Professional Overview & Biography Verified Profile Summary

Joseph Malecki was a registered Dentist - General Practice practicing in Aurora, IL. Throughout an active medical career spanning 1 years, Joseph Malecki provided care at the practice location at 1940 W GALENA BLVD STE 3 until profile deactivation on 2018-04-12.

Practice Location & Contact Primary Location

Practice Address

1940 W Galena Blvd Ste 3

Aurora, IL 605064482

Telephone 6308927041

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Aurora, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
70 Specialists

Practicing in Aurora, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.031383

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

12420 Archer Ave

Lemont, IL 604396733

Phone: 6302439851

6233 W 55th St

Chicago, IL 606382530

Phone: 7732842259

538 W North Ave

Elmhurst, IL 601262105

Phone: 6308330122

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1699787929

Doctor of Dental Surgery

NPI 1891932315

Doctor of Dental Surgery

Dr. Katherine Bracy , DDS

Dentist - General Practice

NPI 1952442162

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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Updated Practice Location January 11, 2019

Registered at 1940 W GALENA BLVD STE 3, AURORA, IL 605064482 (Tel: 6308927041)

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Updated Business Mailing Address January 11, 2019

Registered at 1940 W GALENA BLVD STE 3, AURORA, IL 605064482 (Tel: 6308927041)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2019

Dentist (License #019.031383 in IL)

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Updated Practice Location September 18, 2018

Registered at 1940 W GALENA BLVD, AURORA, IL 605064319 (Tel: 6308927041)

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Updated Practice Location July 18, 2018

Registered at 2241 THEODORE ST, CREST HILL, IL 604031881 (Tel: 7792798128)

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Updated Business Mailing Address July 18, 2018

Registered at 6710 DUNHAM RD, DOWNERS GROVE, IL 605163230 (Tel: 6309309571)

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Provider Name / Credentials Updated July 18, 2018

Recorded as JOSEPH MALECKI

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2018

Dentist (License #019.031383 in IL)

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NPI Profile Deactivated April 12, 2018

Record deactivated on April 12, 2018

NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2017

Registered at 2241 THEODORE ST, CREST HILL, IL 604031881 (Tel: 7792798128)

📍
Updated Business Mailing Address August 31, 2017

Registered at 6710 DUNHAM RD, DOWNERS GROVE, IL 605163230 (Tel: 6309309571)

👤
Provider Name / Credentials Updated August 31, 2017

Recorded as JOSEPH MALECKI

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Dentist (License #019.031383 in IL)

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Initial NPI Registration & Enumeration August 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881112639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2017
Last Update: January 11, 2019
Deactivation Date: April 12, 2018
Sole Proprietor: Yes

Mailing Address

1940 W Galena Blvd Ste 3

Aurora, IL 605064482

Phone: 6308927041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.