Ian Charles Mccomb, is a
Oral & Maxillofacial Surgery based in Maywood, Illinois. Ian Charles Mccomb is licensed to practice in Illinois (license number 021003032) and his current practice location is
2160 S 1st Ave, Maywood, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 216-9000.
NPI number for Ian Charles Mccomb is 1003234287 and his current mailing address is 2160 S 1st Ave, Maywood, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003234287.
Healthcare Provider's Profile
Full Name | Ian Charles Mccomb |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 2160 S 1st Ave, Maywood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003234287
- Provider Enumeration Date: 04/03/2014
- Last Update Date: 05/25/2022
Medical Identifiers
Medical identifiers for Ian Charles Mccomb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003234287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019029867 (Illinois) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 2901022524 (Michigan) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 021003032 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ian Charles Mccomb is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ian Charles Mccomb, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Ian Charles Mccomb, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
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