Provider Demographics
NPI:1902345762
Name:HRESKO, KYLE JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:JAMES
Last Name:HRESKO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1240 MEADOW RD STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3679
Mailing Address - Country:US
Mailing Address - Phone:847-272-9516
Mailing Address - Fax:816-272-9551
Practice Address - Street 1:7500 GRAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-1585
Practice Address - Country:US
Practice Address - Phone:847-272-9516
Practice Address - Fax:847-272-9551
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2025-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI6000023-151223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery