Krystle Grandberry Widen, DMD - Dentist in Oak Park, IL

Krystle Grandberry Widen, DMD is a Dentist - General Practice based in Oak Park, Illinois. Krystle Grandberry Widen is licensed to practice in Illinois (license number 019.033543) and her current practice location is 1113 Chicago Ave, Oak Park, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 383-0500.

NPI number for Krystle Grandberry Widen is 1063942159 and her current mailing address is 2307 W Melrose St, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063942159.

Contact Information

Krystle Grandberry Widen, DMD
1113 Chicago Ave,
Oak Park, IL 60302-1803
(708) 383-0500
Not Available



Healthcare Provider's Profile

Full NameKrystle Grandberry Widen
GenderFemale
SpecialityDentist - General Practice
Location1113 Chicago Ave, Oak Park, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063942159
  • Provider Enumeration Date: 06/12/2017
  • Last Update Date: 02/16/2024

Medical Identifiers

Medical identifiers for Krystle Grandberry Widen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063942159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 019.033543 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystle Grandberry Widen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krystle Grandberry Widen, DMD
2307 W Melrose St,
Chicago, IL 60618-6317

Ph: () -
Krystle Grandberry Widen, DMD
1113 Chicago Ave,
Oak Park, IL 60302-1803

Ph: (708) 383-0500

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Dentist in Oak Park, IL

Dr. Radmila Stevanovic, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1 Chicago Ave, Oak Park, IL 60302
Phone: 708-948-7744    
Nina Astaraei, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Lake St Ste 140, Oak Park, IL 60301
Phone: 708-666-1234    
Dr. Anna Marie Forbes, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1 Chicago Ave, Oak Park, IL 60302
Phone: 773-456-7071    
Dr. Judy R Burgess-drain, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 840 S Oak Park Ave, Suite 214, Oak Park, IL 60304
Phone: 708-383-1234    Fax: 708-383-3578
Dr. Wanda Laszcz, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 320 Lake St, Oak Park, IL 60302
Phone: 708-848-0528    
Dr. Emily Jane Taylor, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 831 Gunderson Ave, Oak Park, IL 60304
Phone: 860-305-4336    

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