Provider Demographics
NPI:1538155569
Name:ZAGRODNIK, DENNIS FREDERICK II (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:FREDERICK
Last Name:ZAGRODNIK
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 735044
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-5044
Mailing Address - Country:US
Mailing Address - Phone:800-326-2250
Mailing Address - Fax:
Practice Address - Street 1:36500 AURORA DR
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:WI
Practice Address - Zip Code:53066-4899
Practice Address - Country:US
Practice Address - Phone:262-434-5000
Practice Address - Fax:262-434-7250
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2024-07-02
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Provider Licenses
StateLicense IDTaxonomies
WI49528-020208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34900300Medicaid