Jihan Doss, | |
13442 Cicero Ave, Crestwood, IL 60418-1430 | |
(708) 393-4911 | |
Not Available |
Full Name | Jihan Doss |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 13442 Cicero Ave, Crestwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962958330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019030847 (Illinois) | Secondary |
122300000X | Dentist | DD4535 (New Mexico) | Primary |
Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Mailing Address | Practice Location Address |
---|---|
Jihan Doss, 6349 U.s. Highway 550, Cuba, NM 87013 Ph: (575) 289-3291 | Jihan Doss, 13442 Cicero Ave, Crestwood, IL 60418-1430 Ph: (708) 393-4911 |
Dr. Karan Varma, DMD Dentist Medicare: Medicare Enrolled Practice Location: 13442 Cicero Ave, Crestwood, IL 60418 Phone: 708-393-4911 | |
Dr. Michael Luckett, Dentist Medicare: Medicare Enrolled Practice Location: 4839 Cal Sag Rd # 310, Crestwood, IL 60418 Phone: 708-597-9055 Fax: 216-584-7062 | |
Dr. Kevin Martin Bargamian, DMD Dentist Medicare: Medicare Enrolled Practice Location: 13549 South Cicero Avenue, Crestwood, IL 60445 Phone: 708-388-3200 Fax: 708-388-8439 | |
Dr. Steven M Owczaruk, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4839 Cal Sag Rd # 310, Crestwood, IL 60418 Phone: 708-689-5273 | |
Dr. Robert W Gentile, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4753 W 138th Street, Crestwood, IL 60445 Phone: 708-388-4550 Fax: 708-388-4078 | |
Mr. John Arce, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14154 Cicero Ave, Crestwood, IL 60445 Phone: 708-388-3384 Fax: 708-388-4339 | |
Michael John Giuliano, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 14301 Cicero Ave, Crestwood, IL 60418 Phone: 708-498-4456 |