Carmella B Perry, DDS | |
2711 Flossmoor Rd, Flossmoor, IL 60422-1141 | |
(708) 799-9755 | |
(707) 799-8377 |
Full Name | Carmella B Perry |
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Gender | Female |
Speciality | Dentist |
Location | 2711 Flossmoor Rd, Flossmoor, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356492276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 019019877 (Illinois) | Secondary |
122300000X | Dentist | 019019877 (Illinois) | Primary |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
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Carmella B Perry, DDS 2711 Flossmoor Rd, Flossmoor, IL 60422-1141 Ph: (708) 799-9755 | Carmella B Perry, DDS 2711 Flossmoor Rd, Flossmoor, IL 60422-1141 Ph: (708) 799-9755 |
Dr. Stephen Edward Jarvie, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 19509 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-8787 Fax: 708-798-8948 | |
Dr. Barbara Lynn Malone, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19615 Governors Hwy, Flossmoor, IL 60422 Phone: 708-647-6453 Fax: 708-647-0808 | |
Dr. Rebecca J. Testa, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 19815 Governors Hwy, Suite # 4, Flossmoor, IL 60422 Phone: 708-814-5783 | |
Dr. Cary N Goldberg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19615 Governors Hwy, Flossmoor, IL 60422 Phone: 708-647-6453 | |
Dr. Kevin Lloyd Fatland, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 19509 Governor's Highway, Flossmoor, IL 60422 Phone: 708-647-7509 Fax: 708-647-7918 | |
Dr. Laura Mabel Lalich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2630 Flossmoor Rd, Suite 103, Flossmoor, IL 60422 Phone: 708-798-0990 Fax: 708-798-3370 | |
Dr. Mirette Boushra, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19815 Governors Hwy Ste 7, Flossmoor, IL 60422 Phone: 708-794-4253 |