Dr Omar T Cockey, DMD,MPH | |
3010 Grand Ave, Waukegan, IL 60085-2321 | |
(847) 377-8604 | |
Not Available |
Full Name | Dr Omar T Cockey |
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Gender | Male |
Speciality | Dentist |
Location | 3010 Grand Ave, Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154446318 | NPI | - | NPPES |
4608909 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DI 17684 (New Jersey) | Primary |
122300000X | Dentist | 019.029675 (Illinois) | Secondary |
Entity Name | County Of Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
Mailing Address | Practice Location Address |
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Dr Omar T Cockey, DMD,MPH 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8604 | Dr Omar T Cockey, DMD,MPH 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8604 |
Dr. Elliott M. Garber, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8440 | |
Dr. Randy Chang, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 916 N Green Bay Rd, Waukegan, IL 60085 Phone: 847-336-8200 Fax: 847-336-8203 | |
Dr. Russell E Schneider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2504 Washington St, #500, Waukegan, IL 60085 Phone: 847-336-2175 | |
William L. Jesenovec, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 S Lewis Ave, Suite 200, Waukegan, IL 60085 Phone: 847-336-9033 Fax: 847-336-9093 | |
Dr. Gerald Allen Dismer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8581 Fax: 847-360-9930 | |
Dr. Yasir Riadh Issa, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1320 Golf Rd, Waukegan, IL 60087 Phone: 847-336-2800 Fax: 847-662-0163 | |
Martha E Diaz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1611 Grand Ave, Waukegan, IL 60085 Phone: 847-599-3855 Fax: 847-599-3859 |