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Active NPI 1396304549 Individual Practitioner Male Practitioner

Dr. Kamil Nowacki , DMD

Dentist - General Practice • Crystal Lake, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kamil Nowacki, DMD is a registered healthcare professional specializing in Dentist - General Practice in Crystal Lake, IL. Practice services are available at 600 DAKOTA ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Dakota St Ste A

Crystal Lake, IL 600123742

Telephone 8154591214

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Crystal Lake, IL

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

Practicing in Crystal Lake, 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

CMS Verified: 2024-12-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032111

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Gerald Miller , DDS

Dentist - General Practice

NPI 1437305927

Doctor of Dental Surgery

Dr. Austin Tweet , DDS

Dentist - General Practice

NPI 1558091819

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 17, 2024

Registered at 600 DAKOTA ST STE A, CRYSTAL LAKE, IL 600123742 (Tel: 8154591214)

📍
Updated Business Mailing Address December 17, 2024

Registered at 600 DAKOTA ST STE A, CRYSTAL LAKE, IL 600123742 (Tel: 8154591214)

NPI Profile Active June 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2019

Registered at 7601 W MONTROSE AVE STE 2, NORRIDGE, IL 607061000 (Tel: 7735891062)

📍
Updated Business Mailing Address June 11, 2019

Registered at 1600 S. INDIANA AVE. UNITE 1508, CHICAGO, IL 60616

👤
Provider Name / Credentials Updated June 11, 2019

Recorded as KAMIL NOWACKI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Dentist (License #019.032111 in IL)

🟢
Initial NPI Registration & Enumeration June 11, 2019

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: 1396304549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2019
Last Update: December 17, 2024
Sole Proprietor: Yes

Mailing Address

600 Dakota St Ste A

Crystal Lake, IL 600123742

Phone: 8154591214

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.