| Roman D Mycyk Dds & James Ciesco Dds A Partnership | |
|
6315 No Milwaukee Ave Chicago IL 60646 | |
| (773) 774-1493 | |
| (773) 774-3193 |
| Full Name | Roman D Mycyk Dds & James Ciesco Dds A Partnership |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6315 No Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | Roman Daniel Mycyk (CO OWNER) |
| Authorized Official Contact | 7737741493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roman D Mycyk Dds & James Ciesco Dds A Partnership 6315 No Milwaukee Ave Chicago IL 60646 Ph: (773) 774-1493 | Roman D Mycyk Dds & James Ciesco Dds A Partnership 6315 No Milwaukee Ave Chicago IL 60646 Ph: (773) 774-1493 |
| NPI Number | 1013068980 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013068980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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