| Marshall Shikami DDS PC | |
|
1526 S Halsted St Chicago Heights IL 60411-3523 | |
| (708) 754-1063 | |
| (708) 755-4696 |
| Full Name | Marshall Shikami DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 1526 S Halsted St, Chicago Heights, Illinois |
| Authorized Official Name and Position | Marshall J Shikami (PRESIDENT) |
| Authorized Official Contact | 7087541063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Shikami DDS PC 1526 S Halsted St Chicago Heights IL 60411-3523 Ph: (708) 754-1063 | Marshall Shikami DDS PC 1526 S Halsted St Chicago Heights IL 60411-3523 Ph: (708) 754-1063 |
| NPI Number | 1801060421 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801060421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Secondary |
| 122300000X | Dentist | 019018895 (Illinois) | Primary |
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