Dr Nikisha N Jodhan, DDS | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Dr Nikisha N Jodhan |
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Gender | Female |
Speciality | Dentist |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184816530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019028166 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
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Dr Nikisha N Jodhan, DDS 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Dr Nikisha N Jodhan, DDS 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Ian Charles Mccomb, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Nicholas Robert Tokarski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1516 Madison St, Maywood, IL 60153 Phone: 708-344-1880 | |
Rana Ghazan Shahi, D.D.S., MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-3041 | |
Dr. Austin Lucas Cacciaglia, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Dr. Cameron James Walker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave Rm 1814, Maywood, IL 60153 Phone: 708-327-3041 | |
Christopher John Doran, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Building 105, Room 1814, Maywood, IL 60153 Phone: 708-327-3041 | |
Dr. Mariusz Kajetan Wrzosek, D.M.D., M.D. Dentist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 617-240-6890 |