| Jdm Dds Pc | |
|
6315 N Milwaukee Ave Chicago IL 60646-3760 | |
| (773) 774-1493 | |
| Not Available |
| Full Name | Jdm Dds Pc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 6315 N Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | John D Manikowski (PRESIDENT) |
| Authorized Official Contact | 3122134179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jdm Dds Pc 1701 N Sheffield Ave Ste 101 Chicago IL 60614-5549 Ph: (312) 337-1665 | Jdm Dds Pc 6315 N Milwaukee Ave Chicago IL 60646-3760 Ph: (773) 774-1493 |
| NPI Number | 1811623788 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811623788 | NPI | - | NPPES |
| 1710146964 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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