Dr Kenneth Howard Peskin, DDS | |
4711 Golf Rd, Suite 408, Skokie, IL 60076-1224 | |
(847) 676-4590 | |
(847) 676-4695 |
Full Name | Dr Kenneth Howard Peskin |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4711 Golf Rd, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619983244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
Entity Name | Peskin Oral Surgery, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649286287 PECOS PAC ID: 3870775364 Enrollment ID: O20110304000018 |
Mailing Address | Practice Location Address |
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Dr Kenneth Howard Peskin, DDS 4711 Golf Rd, Suite 408, Skokie, IL 60076-1224 Ph: (847) 676-4590 | Dr Kenneth Howard Peskin, DDS 4711 Golf Rd, Suite 408, Skokie, IL 60076-1224 Ph: (847) 676-4590 |
Dr. Jonathan Scott Davidson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9215 Skokie Blvd, Skokie, IL 60077 Phone: 847-329-9801 Fax: 847-329-9802 | |
Dr. Gary Gustavson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 64 Old Orchard Ctr, Ste 528, Skokie, IL 60077 Phone: 847-675-3311 | |
Dr. Clifford Prince, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4535 Oakton St, Skokie, IL 60076 Phone: 847-675-4535 Fax: 847-675-2780 | |
Dr. David Samuel Yudkowsky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8800 Bronx Ave, Skokie, IL 60077 Phone: 847-676-6512 Fax: 847-676-6502 | |
Dr. Calvin Mandel Finkel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8310 Lincoln Ave, Skokie, IL 60077 Phone: 847-673-9114 Fax: 847-674-1410 | |
Dr. Barry K Freydberg, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4833 Church St, Skokie, IL 60077 Phone: 847-673-7118 Fax: 847-673-4709 | |
Dr. Gerald M. Noskin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4833 Church St, Skokie, IL 60077 Phone: 847-673-7118 |