Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline M Wisinski, DMD

Individual provider Dentist · NPI 1639789936

Dr. Jacqueline M Wisinski, DMD is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

801 S Paulina St
Chicago, IL 60612-7210
Phone: (815) 382-3523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 021.003278 (IL)
Dentist Taxonomy 122300000X · Licence 019.032571 (IL)

Record details

NPI number1639789936
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 3, 2020
Last updated in NPPESJuly 29, 2023
Certification dateJuly 29, 2023

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