Dr Rosa Bellido-griffin, DMD | |
4446 N Western Ave Ste 1, Chicago, IL 60625-2175 | |
(872) 208-5240 | |
(872) 208-5051 |
Full Name | Dr Rosa Bellido-griffin |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 4446 N Western Ave Ste 1, 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 |
---|---|---|---|
1649484353 | NPI | - | NPPES |
30303708 | Medicaid | NH | |
1001185 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3392 (New Hampshire) | Secondary |
122300000X | Dentist | 019022398 (Illinois) | Primary |
Entity Name | Beloved Community Family Wellness Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760408439 PECOS PAC ID: 0042216038 Enrollment ID: O20061016000042 |
Entity Name | Primehealth Of Illinois Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558808261 PECOS PAC ID: 7517242803 Enrollment ID: O20170329001437 |
Mailing Address | Practice Location Address |
---|---|
Dr Rosa Bellido-griffin, DMD 4446 N Western Ave Ste 1, Chicago, IL 60625-2175 Ph: (872) 208-5240 | Dr Rosa Bellido-griffin, DMD 4446 N Western Ave Ste 1, Chicago, IL 60625-2175 Ph: (872) 208-5240 |
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 |