Dr Jae Sang Oh, DMD | |
3001 Green Bay Rd, North Chicago, IL 60064-3048 | |
(847) 688-2100 | |
Not Available |
Full Name | Dr Jae Sang Oh |
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Gender | Male |
Speciality | Dentist |
Location | 3001 Green Bay Rd, North 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 |
---|---|---|---|
1235612599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 107185 (California) | Primary |
122300000X | Dentist | 019.031875 (Illinois) | Secondary |
Entity Name | Family Health Centers Of San Diego, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
---|---|
Dr Jae Sang Oh, DMD 842 Waukegan Rd, Northbrook, IL 60062-3714 Ph: (858) 943-1174 | Dr Jae Sang Oh, DMD 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (847) 688-2100 |
Dr. Ralph Henry Laurell Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Green Bay Rd, North Chicago, IL 60064 Phone: 847-689-2900 | |
Lucas Williams, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, North Chicago, IL 60088 Phone: 647-688-2469 | |
Jacob Eckstaine, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St Apt 5, North Chicago, IL 60088 Phone: 815-262-8371 | |
Dr. Grace Shelledy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, North Chicago, IL 60088 Phone: 847-688-2469 | |
Jennifer Ann Seluzicki West, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, North Chicago, IL 60088 Phone: 847-688-2469 | |
Dr. Jordan Anne Bretsch, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 Phone: 847-688-1900 | |
Ross Evan Baker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, North Chicago, IL 60088 Phone: 847-688-2469 |