| Deborah Frogameni, DDS | |
|
5215 N California Ave, Chicago, IL 60625-7014 | |
| (312) 666-3494 | |
| (312) 666-6228 |
| Full Name | Deborah Frogameni |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 5215 N California Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629007976 | NPI | - | NPPES |
| 019021744 | Medicaid | IL | |
| 2219281 | Medicaid | OH | |
| 600972 | Other | OH | BUCKEYE GROUP ID |
| 10246 | Other | OH | GROUP PARAMOUNT ID |
| 8822331 | Medicaid | OH | |
| 109100 | Other | OH | DORAL DENTAL |
| 88333OH | Other | OH | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-018017 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | 019-021744 (Illinois) | Primary |
| Entity Name | Erie Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Frogameni, DDS 1701 W Superior St, Chicago, IL 60622-5646 Ph: (312) 666-3494 | Deborah Frogameni, DDS 5215 N California Ave, Chicago, IL 60625-7014 Ph: (312) 666-3494 |
Dr. Philip E Fidel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647 Phone: 773-276-0300 Fax: 773-252-5994 | |
Bilus D Poles, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1945 W Wilson Ave, Chicago, IL 60640 Phone: 773-275-8855 | |
Theresa Westfallen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1738 W North Ave, Chicago, IL 60622 Phone: 773-276-5566 Fax: 773-276-8780 | |
Dr. Justine S Gasior, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629 Phone: 773-581-4627 Fax: 773-581-3155 | |
Dr. William Kwok Kuen Wan, M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616 Phone: 312-791-1013 Fax: 312-791-1444 | |
Gandy S Garcia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930 | |
Dr. Sodabeh Etminan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649 Phone: 773-256-0526 |